Individual provider · Type 1 NPI

Ryan Jack Martin, PAC

Surgical Physician Assistant · Dallas, TX

NPI number 1124163894 Active

Practice location

9301 N Central Expy Ste 500
Dallas, TX 75231-0805

Fax (469) 232-9738

Other practice locations

  • 3800 Gaylord Pkwy Ste 710, Frisco, TX 75034-9635 · (214) 220-2468

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA03455 (TX)
Physician Assistant 363A00000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1124163894

Ryan Jack Martin, PAC's National Provider Identifier is 1124163894, issued on Feb 21, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Jun 1, 2022.