Provider Demographics
NPI:1558617340
Name:STAPLES, RYAN K (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:K
Last Name:STAPLES
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 1:4500 ELDORADO PKWY STE 1550
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2509
Mailing Address - Country:US
Mailing Address - Phone:469-288-5440
Mailing Address - Fax:469-253-5695
Practice Address - Street 1:4500 ELDORADO PKWY STE 1550
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2509
Practice Address - Country:US
Practice Address - Phone:469-288-5440
Practice Address - Fax:469-253-5965
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor