Mulligan, Ryan Patrick

Mulligan, Ryan Patrick is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mulligan, Ryan Patrick can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Ave Grapevine TX 76051-3930
Fax: (817) 488-4493
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R1592 Texas

Profile Details

NPI number 1538450291
LBN Legal business name Mulligan, Ryan Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538450291 NPPES
Texas Other 8GS462 BCBSTX
Texas MEDICAID 372801601 BCBSTX

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