Individual
RYAN ALAN SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-3627
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
P3579
TX
207Q00000X
Family Medicine Physician
OS10717
FL
207Q00000X
Family Medicine Physician
P3579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301721201
—
TX
01
—
8DJ087
BCBS
TX
01
—
P01560701
RAILROAD MEDICARE
TX
Enumeration date
07/04/2009
Last updated
01/26/2016
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