MEDICARE: DR. EILDAR ABYAR M.D.

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	207X00000X	Orthopaedic Surgery Physician	A151259	CA
2	207X00000X	Orthopaedic Surgery Physician	S5818	TX
3	207X00000X	Orthopaedic Surgery Physician	80339	GA

General Provider Information

NPI Number	:	1750769170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EILDAR ABYAR M.D.

Provider Business Mailing Address
First Line	:	5822 WORTH PKWY STE 115
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-5531
Country	:	US
Telephone Number	:	210-201-3456
Fax Number	:	210-939-5646

Provider Business Practice Location Address
First Line	:	5822 WORTH PKWY STE 115
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-5531
Country	:	US
Telephone Number	:	210-201-3456
Fax Number	:	210-939-5646

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

Provider Enumeration Date	:	05/18/2015
Last Update Date	:	11/01/2025

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