Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan W. T. Black, PA-C

Individual provider Physician Assistant · NPI 1831441336

Mr. Ryan W. T. Black, PA-C is a Physician Assistant in Dallas, Texas. Works from 2 locations. Licensed in New York and Texas.

Licensed in
NY, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 742-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2490 — (718) 920-2060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12641 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 015931 (NY)

Record details

NPI number1831441336
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2012
Last updated in NPPESJuly 22, 2019

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