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General NPI Number Information
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NPI Number | 1871122101
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Entity Type | Individual
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Provider Name | RYAN PHILLIP PASTORAL ALONZO MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 23920 KATY FWY STE 410
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City | KATY
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State | TX
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Zip | 77494-0881
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Country | US
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Telephone | 713-772-1200
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Fax | 713-255-6315
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Provider Business Mailing Address
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Address Line | 13811 MURPHY RD
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City | STAFFORD
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State | TX
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Zip | 77477-4903
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Country | US
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Telephone | 713-772-1200
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Fax | 713-255-6315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | W1376
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License Number State | TX
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