Individual
SHEY KYLE DITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11615 ANGUS RD STE 106, AUSTIN, TX 78759-4064
(512) 436-9986
(512) 436-8295
Mailing address
11615 ANGUS RD STE 106, AUSTIN, TX 78759-4064
(512) 436-9986
(512) 436-8295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
Q7861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393647801
—
TX
01
—
Q7861
MEDICAL LICENSE
TX
Enumeration date
06/26/2013
Last updated
02/06/2026
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