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Mr. Robert Ryan Ressler

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NPI Number Detailed Information

Provider Information:

Name: Mr. Robert Ryan Ressler
Gender: M
Provider License Number If Given: 1146689

NPI Information:

NPI: 1932108537
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 2/17/2009

Provider Business Mailing Address:

Address: 1336 N UNIVERSITY DR
Nacogdoches, TX 75961
Phone Number: 9365597163
Fax Number: 9365697301

Provider Business Practice Location Address:

Address: 1336 N UNIVERSITY DR
Nacogdoches, TX 75961
Phone Number: 9365597163
Fax Number: 9365697301

Provider Taxonomy:

Primary: 2251S0007X
Secondary (if any): 2255A2300X
State: TX

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