Basic Information
Provider Information
NPI: 1346570967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: RYAN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 187A KIRKHAM CIR
Address2:  
City: KYLE
State: TX
PostalCode: 786408941
CountryCode: US
TelephoneNumber: 5124050400
FaxNumber: 5124050403
Practice Location
Address1: 2623 MATLOCK RD STE 105
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760152509
CountryCode: US
TelephoneNumber: 8172766850
FaxNumber: 8178613023
Other Information
ProviderEnumerationDate: 01/04/2010
LastUpdateDate: 03/22/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X11207TXY Chiropractic ProvidersChiropractor 

No ID Information.


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