KYLE MATTHEW STRUZYK (NPI# 1487188157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487188157 |
| Entity Type | Individual |
| Full Name | KYLE MATTHEW STRUZYK |
| Practice Address |
106 Park Ln Boerne TX 78015-8342 |
| Practice Telephone | 2103174826 |
| Mailing Telephone | 2103174826 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | BP10059246 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8300 Floyd Curl Dr, Attn: Department of Surgery, San Antonio, TX 782293931 | 2104509200 |
| Street Address |
106 PARK LN |
| City | BOERNE |
| State | TX |
| Zip Code | 78015-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356845242 | Samantha Royalty | Student in an Organized Health Care Education/Training Program | 31925 Deer Smt, Fair Oaks Ranch, TX 78015 | 2018-03-23 |
| 1124455985 | Charles Kennedy Jr. | Specialist | 8454 Northview Pass, Fair Oak Ranch, TX 78015 | 2013-10-10 |
| 1831448448 | Pamela Kelly Brennan | Registered Nurse | 208 Cibolo Ridge Trail, Boerne, TX 78015 | 2012-08-29 |
| 1508112558 | Tammy Marek Pllc | Counselor | 31525 Post Oak Trl, Fair Oaks Ranch, TX 78015 | 2012-07-27 |
| 1295001360 | Shanna Marie Miller | Speech-Language Pathologist | 8614 Carmel Rose, Boerne, TX 78015 | 2012-03-22 |
| 1184991184 | San Antonio Dental Center | Dentist | 8610 Napa Lndg, Boerne, TX 78015 | 2011-11-19 |
| 1386941227 | Priscilla Diane Diazdeleon | Speech-Language Pathologist | 8701 Cavalry, Fair Oaks Ranch, TX 78015 | 2011-02-11 |
| 1649586678 | Erica Janae Lunsford | Physician Assistant | 29602 Midnight Sun, Fair Oaks Ranch, TX 78015 | 2010-08-27 |
| 1053555953 | Ramon Cancino | Family Medicine | 25723 Old Fredericksburg, Boerne, TX 78015 | 2009-04-23 |
| 1194901744 | Fair Oaks Dental, Pa | Dentist | 9091 Fair Oaks Pkwy, Suite 304, Fair Oaks Ranch, TX 78015 | 2008-01-14 |
| Find all providers in zip 78015 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.