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NPI Code Detail

MEDICARE: DR. CONNOR KROLIKOWSKI DPM

MEDICARE: DR. CONNOR KROLIKOWSKI DPM
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
1213E00000XPodiatrist692177TX

General Provider Information

NPI Number : 1396319208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNOR KROLIKOWSKI DPM
Provider Business Mailing Address
First Line : 701 S ZARZAMORA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-5209
Country : US
Telephone Number : 210-358-7717
Fax Number : 210-358-7707
Provider Business Practice Location Address
First Line : 701 S ZARZAMORA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-5209
Country : US
Telephone Number : 210-358-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 01/05/2026

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