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Individual

RYAN K MIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4106 WINCHESTER CV, CONVERSE, TX 78109-0738
(210) 992-5646
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
(210) 261-1821

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13626
TX

Other

Enumeration date
11/07/2018
Last updated
05/30/2025
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