# J.C. TANENBAUM, DPM, PA, AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richard Scott Kobylar, DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861685059
- **Authorized official:** RICHARD SCOTT KOBYLAR DPM (OWNER)
- **Authorized official phone:** (979) 245-9500

## Contact information

- **Practice address:** 305 SANDY CORNER RD, SUITE 220, EL CAMPO, TX 77437-9693
- **Practice address phone:** (979) 245-9500
- **Practice address fax:** (979) 323-7370
- **Mailing address:** 1115 AVENUE F, BAY CITY, TX 77414-3013
- **Mailing address phone:** (979) 245-9500
- **Mailing address fax:** (979) 323-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1691 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 06/29/2012
