Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1839 | NM |
Y | 111NR0400X | Rehabilitation Chiropractor | 11498 | TX |
NPI | 1316251762 |
---|---|
Provider Name | Dr. Ryan Doss |
First Address | Lubbock, TX 79424-0962 |
Second Address | Lubbock, TX 79424-0962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2010 |
Last Update Date | 20/01/2022 |