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Individual
RYAN CASEY NULPH
Active
Individual
RYAN CASEY NULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06696
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283189301
—
TX
05
—
283189302
—
TX
05
—
283189303
—
TX
Enumeration date
12/11/2009
Last updated
11/21/2011
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