MR. RYAN W. T. BLACK PA-C
NPI 1831441336
Physician Assistant in Dallas, TX

Q: What is Ryan Black's NPI number?

The NPI number for Ryan Black is 1831441336. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Q: What is Ryan Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Black was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 08, 2012

4500 S LANCASTER RD, DALLAS, TX 75216(214) 742-8387 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2019, Jun 5, 2019, Nov 25, 2016 and 1 more (4 updates tracked since 2016).

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About Mr. Ryan W. T. Black Pa-c NPPES

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

MR. RYAN W. T. BLACK PA-C (NPI 1831441336) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA12641) and active in the NPI registry since October 2012. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1831441336

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. RYAN W. T. BLACKCredential: PA-C

Location Address4500 S LANCASTER RDDallas, TX 75216-7167

Mailing Address4500 S Lancaster RdDallas, TX 75216-7167

Phone(214) 742-8387

Sole ProprietorNo

Enumeration DateOctober 8, 2012

Last NPPES UpdateJuly 22, 20194 updates tracked since enumeration

✔ NPI 1831441336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TX · PA12641✔ Licensed in NY · 015931

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4500 S LANCASTER RD, Dallas, TX 75216

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2490 · Phone (718) 920-2060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALLAS VETERANS ADMINISTRATION MEDICAL CENTER

General Acute Care Hospital