Provider Demographics
NPI:1114026598
Name:STYPKO, ANDRZEJ (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRZEJ
Middle Name:
Last Name:STYPKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CYPRESS CIR
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6806
Mailing Address - Country:US
Mailing Address - Phone:903-274-6625
Mailing Address - Fax:830-261-5307
Practice Address - Street 1:1025 GARNER FIELD RD
Practice Address - Street 2:WOUND CARE CENTER
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4809
Practice Address - Country:US
Practice Address - Phone:830-278-6251
Practice Address - Fax:830-279-0065
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4567174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG61225Medicare UPIN