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Individual
RYAN MICHAEL RODRIGUEZ
Active
Individual
RYAN MICHAEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60229753
WA
363A00000X
Physician Assistant
Primary
PA15056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15056
TEXAS MEDICAL LICENSE
TX
Enumeration date
10/12/2007
Last updated
06/11/2025
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