Provider Demographics
NPI:1386981868
Name:STOKES, RYAN DEXTER
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:DEXTER
Last Name:STOKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E ASH LN
Mailing Address - Street 2:APT 706
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-4698
Mailing Address - Country:US
Mailing Address - Phone:806-786-3650
Mailing Address - Fax:
Practice Address - Street 1:700 E ASH LN
Practice Address - Street 2:APT 706
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-4698
Practice Address - Country:US
Practice Address - Phone:806-786-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist