Provider Demographics
NPI:1164837597
Name:HAYMAN, RYAN T (DC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:T
Last Name:HAYMAN
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 1:3334 N TOWN EAST BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3800
Mailing Address - Country:US
Mailing Address - Phone:972-681-8321
Mailing Address - Fax:972-613-8927
Practice Address - Street 1:705 N WEBB RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3311
Practice Address - Country:US
Practice Address - Phone:308-384-4955
Practice Address - Fax:308-384-7088
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor