Individual
MR. RYAN GARCIA RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 877-5292
Mailing address
800 FOX COVE ST, TYLER, TX 75703-4513
(903) 253-1254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11330
TX
363AM0700X
Medical Physician Assistant
PA2367
ME
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
787965
MEDICARE
TX
Enumeration date
05/30/2017
Last updated
03/08/2026
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