Individual
RYAN HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
141 N ROADRUNNER PKWY STE 228, LAS CRUCES, NM 88011-2001
(575) 521-1177
(575) 449-4963
Mailing address
7300 RANCH RD. 2222 BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 759-8932
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0053
NM
363AM0700X
Medical Physician Assistant
PA2014-0053
NM
Other
Enumeration date
08/26/2014
Last updated
02/15/2023
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