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Individual
MR. RYAN DANIEL PAVELKA
Active
Individual
MR. RYAN DANIEL PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA15389
TX
363A00000X
Physician Assistant
Primary
PA15389
TX
Other
Enumeration date
02/24/2022
Last updated
05/23/2023
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