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

Ryan Patrick Dougherty

Individual provider Athletic Trainer · NPI 1457003519

Ryan Patrick Dougherty is an Athletic Trainer in Nacogdoches, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1403 Garner St
Nacogdoches, TX 75961-4079
Phone: (817) 823-0496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1457003519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address1403 Garner St, Nacogdoches, TX 75961-4079

Other providers in Nacogdoches