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General NPI Number Information
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NPI Number | 1952493140
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Entity Type | Individual
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Provider Name | JULIO C O'RYAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1311 GENERAL CAVAZOS BLVD STE 303C
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City | KINGSVILLE
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State | TX
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Zip | 78363-7123
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Country | US
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Telephone | 361-925-3237
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Fax | 361-221-1856
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Provider Business Mailing Address
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Address Line | 204 E 1ST ST
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City | ALICE
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State | TX
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Zip | 78332-4822
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Country | US
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Telephone | 361-664-0145
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E5193
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License Number State | TX
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