Healthcare Provider Details

I. General information

NPI: 1356352967
Provider Name (Legal Business Name): DR. PAUL D KYTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6502 LOHMANS FORD RD
LAGO VISTA TX
78645-5138
US

IV. Provider business mailing address

6502 LOHMANS FORD RD
LAGO VISTA TX
78645-5138
US

V. Phone/Fax

Practice location:
  • Phone: 512-267-3213
  • Fax: 512-267-4232
Mailing address:
  • Phone: 512-267-3213
  • Fax: 512-267-4232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF9705
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: