MEDICARE: SASKIA M LYTLE-VIEIRA DO

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	20A11857	CA
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	S9345	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20A11857	OTHER	CA	STATE OF CALIFORNIA
2	S9345	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1619180916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASKIA M LYTLE-VIEIRA DO

Provider Business Mailing Address
First Line	:	4611 BEE CAVES RD STE 308
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5284
Country	:	US
Telephone Number	:	512-638-2979
Fax Number	:	866-466-6438

Provider Business Practice Location Address
First Line	:	4611 BEE CAVES RD STE 308
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5284
Country	:	US
Telephone Number	:	512-638-2979
Fax Number	:	866-466-6438

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	11/21/2021

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Directions to “ SASKIA M LYTLE-VIEIRA DO” Practice Location

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