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General NPI Number Information
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NPI Number | 1215167119
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Entity Type | Individual
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Provider Name | KYLE H FEHLIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2009
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 457 LANDA ST STE C
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5414
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Country | US
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Telephone | 830-627-9088
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Fax | 833-973-1245
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Provider Business Mailing Address
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Address Line | PO BOX 311627
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City | NEW BRAUNFELS
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State | TX
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Zip | 78131-1627
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Country | US
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Telephone | 830-625-0305
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Fax | 830-625-2693
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10034625
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7921
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License Number State | TX
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