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NPI Code Detail

MEDICARE: MICHAL KLYSIK M.D.

MEDICARE: MICHAL KLYSIK M.D.
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
12085R0202XDiagnostic Radiology PhysicianMD61382225WA
22085N0700XNeuroradiology PhysicianQ7725TX
32085N0700XNeuroradiology Physician49163AZ

General Provider Information

NPI Number : 1386806362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAL KLYSIK M.D.
Provider Business Mailing Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Provider Business Practice Location Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 12/04/2025

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