Wilson, Ryne Patrick

Wilson, Ryne Patrick is an sole proprietor health care provider with primary practice located at 8603 Forest Hills Blvd , Dallas TX 75218-4024. He recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as his primary health care specialty. Wilson, Ryne Patrick can be contacted via phone (432) 352-1305.

Contact Information

Primary practice address
8603 Forest Hills Blvd Dallas TX 75218-4024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 31333 Texas

Profile Details

NPI number 1811363807
LBN Legal business name Wilson, Ryne Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2015
Last updated Jun 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811363807 NPPES
Texas MEDICAID 350348402

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