Individual
MR. RICHARD KOBYLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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) 245-9500
(979) 323-7370
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1691
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1691
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1691
TX
332BC3200X
Customized Equipment (DME)
1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052331
BCBS BLUELINK
TX
05
—
181694401
—
TX
01
—
7311810
AETNA
TX
Enumeration date
06/06/2006
Last updated
11/24/2020
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