Individual
MR. RYAN LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CES
Contact information
Practice address
138 GROBE RD, SAN ANTONIO, TX 78220-4419
(210) 843-2961
Mailing address
138 GROBE RD, SAN ANTONIO, TX 78220-4419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6678
TX
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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