MEDICARE: STEVEN M. KRYCH D.P.M.

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	213E00000X	Podiatrist	0891	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215905377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN M. KRYCH D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 90846
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78709-0846
Country	:	US
Telephone Number	:	512-288-0533
Fax Number	:	512-916-8778

Provider Business Practice Location Address
First Line	:	6633 E HWY 290
Second Line	:	STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78723-1172
Country	:	US
Telephone Number	:	512-288-0533
Fax Number	:	512-916-8778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/18/2012

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