Organization
J.C. TANENBAUM, DPM, PA, AND ASSOCIATES
Active
Other names
Richard Scott Kobylar, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT KOBYLAR DPM (OWNER)
(979) 245-9500
Entity
Organization
Contact information
Practice address
305 SANDY CORNER RD, SUITE 220, EL CAMPO, TX 77437-9693
(979) 245-9500
(979) 323-7370
Mailing address
1115 AVENUE F, BAY CITY, TX 77414-3013
(979) 245-9500
(979) 323-7370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181694401
—
TX
Enumeration date
08/22/2007
Last updated
06/29/2012
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