SearchTexas103TM1800X

Mark Ryan, LPA

NPI 1417746413 · on the registry since 2025 · sole proprietor

Practice

Address
3504 Primrose Ave
Fort Worth, TX 76111
Phone
(817) 726-7504

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Also registered as
103TB0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas