Bart Christan Ryan, PA-C
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1669129367
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1669129367
- Entity type
- Individual (NPI-1)
- Name
- Bart Christan Ryan
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2022
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA17111 | TX | Yes |
| 363A00000X | Physician Assistant | PA00641 | MS |
Practice location
7777 Forest LnDallas, TX 75230-2571
Phone 972-566-7000
Mailing address
10923 Wallbrook DrDallas, TX 75238-2944
Phone 662-297-6799
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