# RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J.C. Tanenbaum, DPM, PA, and Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013107853
- **Authorized official:** RICHARD SCOTT KOBYLAR DPM (OWNER)
- **Authorized official phone:** (979) 245-9500

## Contact information

- **Practice address:** 600 HOSPITAL CIR STE 103, BAY CITY, TX 77414-4772
- **Practice address phone:** (979) 245-9500
- **Practice address fax:** (979) 323-7370
- **Mailing address:** 600 HOSPITAL CIR STE 103, BAY CITY, TX 77414-4772
- **Mailing address phone:** (979) 245-9000
- **Mailing address fax:** (979) 323-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1691 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1691 | TX | — |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 01/16/2020