Provider Demographics
NPI:1578708640
Name:KRYCH INC.
Entity Type:Organization
Organization Name:KRYCH INC.
Other - Org Name:KRYCH FOOT & ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRYCH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:512-288-0533
Mailing Address - Street 1:4319 JAMES CASEY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1189
Mailing Address - Country:US
Mailing Address - Phone:512-288-0533
Mailing Address - Fax:512-916-8778
Practice Address - Street 1:4319 JAMES CASEY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1189
Practice Address - Country:US
Practice Address - Phone:512-288-0533
Practice Address - Fax:512-916-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0891213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14281Medicare UPIN