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NPI Code Detail

MEDICARE: MRS. CAROLYN S. RYAN A.C.A.

MEDICARE:  MRS. CAROLYN S. RYAN  A.C.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist50169TX

General Provider Information

NPI Number : 1689834210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN S. RYAN A.C.A.
Provider Business Mailing Address
First Line : 12801 MIDWAY RD
Second Line : #403
City : DALLAS
State : TX
Zip : 75244-6813
Country : US
Telephone Number : 972-247-1377
Fax Number : 972-484-8851
Provider Business Practice Location Address
First Line : 12801 MIDWAY RD
Second Line : #403
City : DALLAS
State : TX
Zip : 75244-6813
Country : US
Telephone Number : 972-247-1377
Fax Number : 972-484-8851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2008
Last Update Date : 06/17/2008

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Directions to “ MRS. CAROLYN S. RYAN A.C.A.” Practice Location

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