Individual
MR. RYAN LEE BUMPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3523 DOROTHY LN S, FORT WORTH, TX 76107-1731
(817) 763-8360
Mailing address
3523 DOROTHY LN S, FORT WORTH, TX 76107-1731
(817) 763-8360
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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