Individual
RENEE KUKLA PIETZSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3007 DAWN DR STE 101, GEORGETOWN, TX 78628-2864
(512) 819-4555
(512) 819-4559
Mailing address
3007 DAWN DR STE 101, GEORGETOWN, TX 78628-2864
(512) 819-4555
(512) 819-4559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178091801
—
TX
01
—
8BD531
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00479025
RAILROAD MEDICARE
TX
Enumeration date
07/02/2006
Last updated
03/19/2026
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