RYAN DAVID HARDGRAVES HAIR LOSS SPECIALIST
NPI 1063925113
Specialist - Prosthetics Case Management in Beaumont, TX
- Individual
- Male
- Specialist
- Prosthetics Case Management
About RYAN HARDGRAVES
This page provides the complete NPI Profile along with additional information for Ryan Hardgraves, a provider established in Beaumont, Texas with a medical specialization in Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1063925113 assigned on November 2017. The practitioner's primary taxonomy code is 1744P3200X with license number 648806 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1063925113 Verify this NPI
- Provider Name
- RYAN DAVID HARDGRAVES HAIR LOSS SPECIALIST
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5015 CHINQUAPIN LN BEAUMONT, TX 77708
- Location Phone
- (409) 656-2262
- Mailing Address
- 5015 CHINQUAPIN LN BEAUMONT, TX 77708
- Mailing Phone
- (409) 656-2262
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-12-2017
- Last Update Date
- 11-13-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist Prosthetics Case Management
- Taxonomy Code
- 1744P3200X
- Type
- Other Service Providers
- License No.
- 648806
- License State
- TX
- Taxonomy Description
- Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063925113, enumerated as an "individual" on November 12, 2017.
The provider is located at 5015 CHINQUAPIN LN BEAUMONT, TX 77708 and the phone number is (409) 656-2262.
Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.
