Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Bonnie Bass Ryan, PA-C

Individual provider Physician Assistant · NPI 1922035179

Mrs. Bonnie Bass Ryan, PA-C is a Physician Assistant in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
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

2106 N Raguet St
Nacogdoches, TX 75962-4437
Phone: (936) 468-4008
Fax: (936) 468-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 03470 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA03470 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA03470 (TX)

Record details

NPI number1922035179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020

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