Thin Ryno, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5608 Issued in AZ

Legal business name

THIN RYNO, PLLC

Practice address

5036 Gadsden Ave
Fort Worth, TX 76244-5919

Phone

(817) 253-7605

NPI assigned

Jun 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meredith Coley Ryan, PA-C

Title

Majority Member

Phone

(817) 253-7605

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1457731499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 GADSDEN AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 GADSDEN AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445919",
            "telephone_number": "817-253-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIN RYNO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "COLEY",
        "authorized_official_title_or_position": "MAJORITY MEMBER",
        "authorized_official_telephone_number": "817-253-7605",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA CORPORATION COMMISSION",
            "identifier": "P19372420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.