MEDICARE: ORTHOIFY 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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1922810928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOIFY PLLC

Provider Business Mailing Address
First Line	:	3 WESTMINSTER CT
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-1707
Country	:	US
Telephone Number	:	210-999-0497
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	:	MANAGING PHYSICIAN
Name	:	EILDAR ABYAR
Credential	:	MD
Telephone Number	:	210-201-3456

Provider Enumeration Date	:	01/25/2025
Last Update Date	:	11/01/2025

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