Provider Demographics
NPI:1740992981
Name:RYALS, CHRISTOPHER RUBEN
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RUBEN
Last Name:RYALS
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 1:18600 DALLAS PKWY APT 1421
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4154
Mailing Address - Country:US
Mailing Address - Phone:214-934-4579
Mailing Address - Fax:
Practice Address - Street 1:18600 DALLAS PKWY APT 1421
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-4154
Practice Address - Country:US
Practice Address - Phone:214-934-4579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle