Provider Demographics
NPI:1316251762
Name:DOSS, RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:DOSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 MILWAUKEE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-0962
Mailing Address - Country:US
Mailing Address - Phone:806-319-7441
Mailing Address - Fax:
Practice Address - Street 1:8214 MILWAUKEE AVE STE 202
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0962
Practice Address - Country:US
Practice Address - Phone:806-319-7441
Practice Address - Fax:806-412-5576
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11498111NR0400X
NM1839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX42884YVXQMedicare PIN