Organization
RICHARD SCOTT KOBYLAR J C TANENBAUM DPM PA & ASSOCIATES
Active
Other names
J.C. Tanenbaum, DPM, PA, and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT KOBYLAR DPM (OWNER)
(979) 245-9500
Entity
Organization
Contact information
Practice address
600 HOSPITAL CIR STE 103, BAY CITY, TX 77414-4772
(979) 245-9500
(979) 323-7370
Mailing address
600 HOSPITAL CIR STE 103, BAY CITY, TX 77414-4772
(979) 245-9000
(979) 323-7370
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1691
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181694401
—
TX
Enumeration date
07/27/2007
Last updated
01/16/2020
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