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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184427783

Ty Reddell Rast is a Student in an Organized Health Care Education/Training Program in Conroe, Texas. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

925 City Central Ave
Conroe, TX 77304-2981
Phone: (936) 202-5202
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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

Record details

NPI number1184427783
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025
Mailing address925 City Central Ave, Conroe, TX 77304-2981

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