Provider Demographics
NPI:1275858284
Name:SZYCH, CLAUDIA R P (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:R P
Last Name:SZYCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:R
Other - Last Name:PEREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4515 SETON CENTER PKWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5785
Mailing Address - Country:US
Mailing Address - Phone:512-541-4340
Mailing Address - Fax:
Practice Address - Street 1:6001 KYLE PARKWAY
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640
Practice Address - Country:US
Practice Address - Phone:512-504-5186
Practice Address - Fax:512-504-5536
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1- 0036670207R00000X
TXP8420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX335980403Medicaid
TX335980404Medicaid
TX335980402Medicaid
TX335980401Medicaid
TX334345YLP2Medicare PIN
TX335980401Medicaid
TX335980402Medicaid
TX334345YKXYMedicare PIN
TX334345YKXVMedicare PIN