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RYAN DAVID HARDGRAVES HAIR LOSS SPECIALIST
NPI 1063925113
Specialist - Prosthetics Case Management in Beaumont, TX

Active since November 12, 2017
5015 CHINQUAPIN LN, BEAUMONT, TX 77708(409) 656-2262 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2017, Nov 12, 2017 (2 updates tracked since 2017).

About Ryan David Hardgraves Hair Loss Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN DAVID HARDGRAVES HAIR LOSS SPECIALIST (NPI 1063925113) is an individual prosthetics case management provider in Beaumont, Texas, licensed in Texas (648806) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1063925113
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameRYAN DAVID HARDGRAVESCredential: HAIR LOSS SPECIALIST
Location Address5015 CHINQUAPIN LNBeaumont, TX 77708-3913
Mailing Address5015 Chinquapin LnBeaumont, TX 77708-3913 · (409) 656-2262
Phone(409) 656-2262
Sole ProprietorYes
Enumeration DateNovember 12, 2017
Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration
✔ NPI 1063925113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in TX · 648806
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

5015 CHINQUAPIN LN, Beaumont, TX 77708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is Ryan Hardgraves's NPI number?

The NPI number assigned to this healthcare provider is 1063925113, enumerated as an "individual" on November 12, 2017.

Where is the provider located?

The provider is located at 5015 CHINQUAPIN LN BEAUMONT, TX 77708 and the phone number is (409) 656-2262.

What is the provider's specialty?

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.