Individual
ANTHONY RYAN RAWLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 SIERRA DR, DENTON, TX 76209-8739
(817) 896-9890
Mailing address
805 SIERRA DR, DENTON, TX 76209-8739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
930593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24303175
DRIVERS LICENSE
TX
Enumeration date
09/26/2020
Last updated
09/26/2020
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