Active NPI 1265832265 Individual Practitioner Male Practitioner

Ryan Holcomb , PA-C

Physician Assistant • Las Cruces, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Holcomb, PA-C is a certified Physician Assistant practicing in Las Cruces, NM. With approximately 12 years of clinical experience since completing medical education in 2014, Ryan Holcomb delivers high-quality medical care to the local community at 141 N ROADRUNNER PKWY STE 228.

Ryan Holcomb is affiliated with Epiphany Dermatology Of New Mexico, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, biopsy of related skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 N Roadrunner Pkwy Ste 228

Las Cruces, NM 880112001

Telephone 5755211177

Fax 5754494963

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Las Cruces, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.8 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

40 Specialists

Practicing in Las Cruces, NM (865 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holcomb (12 Years) 12 Yrs

Las Cruces Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,416	516	$18.44	$5.21
99213 Established patient office or other outpatient visit, typically 15 minutes	1,824	945	$261.02	$73.75
11103 Biopsy of related skin growth, each additional growth	1,260	526	$140.85	$39.81
11102 Tangential biopsy of single skin lesion	1,228	841	$280.57	$72.62
17000 Destruction of skin growth	1,224	739	$191.40	$34.07
17110 Destruction of up to 14 skin growths	270	227	$317.92	$86.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	183	$369.20	$104.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$321.43	$90.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	135	$161.62	$45.82
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	116	90	$419.39	$98.88
69100 Biopsy of ear	96	82	$268.82	$48.82
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	72	64	$511.31	$130.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	68	63	$855.65	$231.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	49	$505.49	$120.18
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	64	55	$471.98	$122.98
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	38	$691.36	$97.99
Q0112 All potassium hydroxide (koh) preparations	36	34	$42.00	$5.71
11104 Punch biopsy, first skin growth	32	31	$349.06	$97.47
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	27	$339.19	$89.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$484.79	$137.33
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	24	$536.26	$146.10
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	19	$585.44	$158.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	11	$11.58	$1.00
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$486.48	$69.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$793.47	$112.37
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$205.57	$58.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,205	480	$18.73	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	1,621	876	$261.14	$73.56
17000 Destruction of skin growth	1,051	643	$191.80	$34.95
11103 Biopsy of related skin growth, each additional growth	969	404	$143.15	$40.33
11102 Tangential biopsy of single skin lesion	935	646	$287.76	$72.91
17110 Destruction of up to 14 skin growths	236	207	$321.14	$87.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	148	$369.90	$104.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	96	$162.44	$45.78
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	97	77	$422.13	$98.09
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	87	70	$517.80	$134.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$325.38	$91.77
69100 Biopsy of ear	73	68	$276.63	$48.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	62	51	$512.44	$126.81
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	45	$867.41	$245.04
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	40	39	$477.86	$109.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	25	$18.91	$1.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	31	$699.27	$98.81
Q0112 All potassium hydroxide (koh) preparations	30	28	$42.00	$5.71
11104 Punch biopsy, first skin growth	30	29	$357.31	$97.27
11900 Injection into skin growth, 1-7 growths	24	24	$163.45	$24.96
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$592.59	$151.07
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$542.31	$133.48
10060 Simple or single drainage of skin abscess	14	14	$360.21	$101.43
40490 Biopsy of lip	13	13	$352.86	$99.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,441	446	$18.50	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	1,429	818	$265.04	$73.96
11103 Biopsy of related skin growth, each additional growth	1,040	410	$148.41	$40.98
17000 Destruction of skin growth	942	609	$191.44	$33.36
11102 Tangential biopsy of single skin lesion	937	673	$293.77	$73.17
17110 Destruction of up to 14 skin growths	240	199	$322.71	$86.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	101	$163.16	$45.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	82	$375.18	$104.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$327.18	$92.69
69100 Biopsy of ear	88	76	$281.37	$45.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	86	69	$879.29	$238.40
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	64	50	$424.14	$92.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	55	49	$513.86	$131.68
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	41	$709.43	$99.07
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	44	41	$518.95	$137.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	17	$21.63	$1.16
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	25	$354.53	$89.04
11104 Punch biopsy, first skin growth	29	28	$366.31	$100.35
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	28	25	$477.45	$104.95
40490 Biopsy of lip	24	17	$358.48	$91.53
Q0112 All potassium hydroxide (koh) preparations	18	17	$42.00	$5.71
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$811.69	$113.81
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$544.37	$139.67
17004 Destruction of precancer skin growth, 15 or more growths	15	14	$475.05	$136.25
11900 Injection into skin growth, 1-7 growths	15	13	$162.95	$28.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,804	381	$17.77	$5.21
99213 Established patient office or other outpatient visit, typically 15 minutes	992	618	$258.61	$75.60
17000 Destruction of skin growth	771	530	$189.00	$36.25
11102 Tangential biopsy of single skin lesion	682	535	$293.46	$76.95
11103 Biopsy of related skin growth, each additional growth	587	292	$151.43	$43.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	206	$144.87	$46.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$325.40	$93.32
17110 Destruction of up to 14 skin growths	186	159	$321.43	$88.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	40	$25.44	$1.25
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$216.21	$60.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	48	$363.71	$107.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	56	47	$512.79	$124.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	54	46	$883.17	$243.41
69100 Biopsy of ear	46	43	$284.00	$51.20
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	38	33	$595.71	$149.92
11104 Punch biopsy, first skin growth	29	28	$367.83	$105.71
11900 Injection into skin growth, 1-7 growths	27	22	$161.33	$33.39
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	21	$517.17	$122.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	18	$41.00	$11.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	17	$715.00	$102.01
17004 Destruction of precancer skin growth, 15 or more growths	18	17	$467.33	$135.07
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	16	$814.89	$116.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$490.93	$140.26
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$543.57	$138.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,131	273	$16.88	$4.87
99213 Established patient office or other outpatient visit, typically 15 minutes	588	363	$218.50	$62.42
17000 Destruction of skin growth	555	388	$189.57	$36.36
11102 Tangential biopsy of single skin lesion	477	390	$288.00	$72.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	332	$317.78	$90.82
11103 Biopsy of related skin growth, each additional growth	361	183	$153.38	$43.81
17110 Destruction of up to 14 skin growths	168	144	$320.60	$85.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	145	42	$27.76	$1.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	142	$315.61	$89.04
99202 New patient office or other outpatient visit, typically 20 minutes	130	130	$221.69	$62.86
69100 Biopsy of ear	62	52	$285.77	$52.88
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	47	35	$512.17	$111.46
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	36	30	$350.00	$88.80
11104 Punch biopsy, first skin growth	36	36	$361.14	$103.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	32	$877.18	$231.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	25	$42.69	$11.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$598.56	$161.77
11900 Injection into skin growth, 1-7 growths	20	18	$161.00	$37.67
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$545.29	$133.22
11105 Punch biopsy, each additional skin growth	14	13	$175.29	$50.12
17004 Destruction of precancer skin growth, 15 or more growths	14	12	$456.00	$130.07
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$823.46	$117.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,530	291	$16.00	$4.65
99213 Established patient office or other outpatient visit, typically 15 minutes	608	377	$214.00	$61.14
17000 Destruction of skin growth	531	377	$194.00	$37.09
11102 Tangential biopsy of single skin lesion	381	315	$288.18	$65.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	290	$316.00	$89.59
11103 Biopsy of related skin growth, each additional growth	257	126	$156.04	$43.48
17110 Destruction of up to 14 skin growths	156	133	$324.00	$81.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$318.00	$89.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	46	$50.00	$1.58
99202 New patient office or other outpatient visit, typically 20 minutes	108	108	$220.00	$62.14
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	78	61	$350.00	$82.49
69100 Biopsy of ear	51	48	$295.00	$68.12
17004 Destruction of precancer skin growth, 15 or more growths	43	40	$425.00	$125.53
11104 Punch biopsy, first skin growth	40	37	$362.00	$100.03
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	34	29	$284.00	$45.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	30	$516.00	$118.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$886.00	$246.64
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	29	28	$356.00	$92.70
11900 Injection into skin growth, 1-7 growths	26	24	$165.00	$38.84
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	26	23	$329.00	$105.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	23	$59.00	$13.62
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	22	$526.00	$117.65
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	22	21	$332.00	$67.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$550.00	$141.72
40490 Biopsy of lip	16	16	$380.00	$91.75
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	14	$603.00	$160.11
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$841.00	$117.92
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$413.00	$110.80
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	14	13	$288.00	$53.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$731.00	$110.65
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$423.00	$96.32
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$1405.00	$399.05
11105 Punch biopsy, each additional skin growth	11	11	$179.00	$49.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,190	216	$15.89	$4.31
99213 Established patient office or other outpatient visit, typically 15 minutes	516	321	$213.83	$59.49
17000 Destruction of skin growth	382	285	$193.87	$39.06
11100 Biopsy of single growth of skin and/or tissue	337	296	$307.80	$80.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	196	$315.87	$88.45
11101 Biopsy of each additional growth of skin and/or tissue	240	134	$96.82	$27.14
17110 Destruction of up to 14 skin growths	116	90	$324.20	$88.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$317.35	$88.91
99202 New patient office or other outpatient visit, typically 20 minutes	104	104	$219.66	$60.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	25	$50.00	$1.70
69100 Biopsy of ear	29	27	$294.93	$56.09
11900 Injection into skin growth, 1-7 growths	23	16	$164.65	$37.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$884.91	$241.36
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	16	$525.25	$132.14
17004 Destruction of precancer skin growth, 15 or more growths	18	18	$424.56	$118.70
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	11	$422.65	$87.02
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	11	$515.25	$116.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	912	170	$17.34	$4.51
99213 Established patient office or other outpatient visit, typically 15 minutes	325	217	$214.45	$59.07
17000 Destruction of skin growth	307	237	$194.39	$37.05
11100 Biopsy of single growth of skin and/or tissue	257	225	$300.01	$78.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	159	$315.27	$87.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$317.13	$88.35
11101 Biopsy of each additional growth of skin and/or tissue	138	79	$96.98	$26.36
99202 New patient office or other outpatient visit, typically 20 minutes	124	124	$218.06	$61.02
17110 Destruction of up to 14 skin growths	91	81	$319.21	$87.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	14	$50.00	$1.81
69100 Biopsy of ear	28	25	$293.14	$62.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$883.50	$246.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$126.94	$35.44
17004 Destruction of precancer skin growth, 15 or more growths	15	13	$436.40	$121.87

Medical Specialties & State Licenses

CMS Verified: 2023-02-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2014-0053

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NM PA2014-0053

Definition to come...

Hospital & Practice Group Affiliations

Epiphany Dermatology Of New Mexico, Llc

141 N Roadrunner Pkwy, Las Cruces, NM 880112001

Phone: 5755211177

Epiphany Dermatology Of New Mexico, Llc

No 5 Calle Medico, Santa Fe, NM 875054762

Phone: 5055576300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Amber Stoll , PA-C

Physician Assistant - Medical

NPI 1598065484

Physician Assistant (Certified)

Anne Woodling , CNP

Nurse Practitioner

NPI 1790897957

Certified Nurse Practitioner

Benjamin Tschudy

Physician Assistant

NPI 1821749391

Dr. James Kerner , MD, PhD

Dermatology

NPI 1962429563

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address February 15, 2023

Registered at 7300 RANCH RD. 2222 BLDG 1, STE 200, AUSTIN, TX 787303255 (Tel: 5127598932)

📍

Updated Practice Location August 31, 2022

Registered at 141 N ROADRUNNER PKWY STE 228, LAS CRUCES, NM 880112001 (Tel: 5755211177)

📍

Updated Business Mailing Address August 31, 2022

Registered at 141 N ROADRUNNER PKWY STE 228, LAS CRUCES, NM 880112001 (Tel: 5755211177)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2022

Physician Assistant (License #PA2014-0053 in NM)

✅

NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2015

Registered at 4311 E LOHMAN AVE, LAS CRUCES, NM 880118255 (Tel: 5755567600)

📍

Updated Business Mailing Address August 28, 2015

Registered at 4311 E LOHMAN AVE, LAS CRUCES, NM 880118255 (Tel: 5755567600)

👤

Provider Name / Credentials Updated August 28, 2015

Recorded as RYAN HOLCOMB, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Physician Assistant (License #PA2014-0053 in NM)

🟢

Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265832265

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 26, 2014

Last Update: February 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7300 Ranch Rd. 2222 Bldg 1, Ste 200

Austin, TX 787303255

Phone: 5127598932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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