MEDICARE: KYLE H FEHLIS PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1649000126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KYLE H FEHLIS PLLC

Provider Business Mailing Address
First Line	:	457 LANDA ST STE C
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-5414
Country	:	US
Telephone Number	:	830-627-9088
Fax Number	:	833-973-1245

Provider Business Practice Location Address
First Line	:	457 LANDA ST STE C
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-5414
Country	:	US
Telephone Number	:	830-627-9088
Fax Number	:	833-973-1245

Authorized Official
Title or Position	:	PHYSICIAN / OWNER
Name	:	DR. KYLE FEHLIS
Credential	:	MD
Telephone Number	:	830-358-2227

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

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Directions to “KYLE H FEHLIS PLLC ” Practice Location

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