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Individual
RYAN A O'BANION
Active
Individual
RYAN A O'BANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
325811
LA
363A00000X
Physician Assistant
Primary
PA16967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328811
LSBME
LA
01
—
PA16967
TEXAS PHYSICIAN ASSISTANT BOARD
TX
Enumeration date
04/06/2021
Last updated
05/15/2025
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