MEDICARE: GREGORY A JARYGA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0983	TX

General Provider Information

NPI Number	:	1326219809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREGORY A JARYGA PC

Provider Business Mailing Address
First Line	:	7100 OAKMONT BLVD
Second Line	:	SUITE 208
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 OAKMONT BLVD
Second Line	:	SUITE 208
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3911
Country	:	US
Telephone Number	:	817-346-7481
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GREGORY A JARYGA
Credential	:	D.P.M.
Telephone Number	:	817-346-7481

Provider Enumeration Date	:	03/12/2008
Last Update Date	:	03/14/2008

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