Provider Demographics
NPI:1710925649
Name:CHYLE, VALERIAN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIAN
Middle Name:
Last Name:CHYLE
Suffix:JR
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 1:218 SIDNEY BAKER ST
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5367
Mailing Address - Country:US
Mailing Address - Phone:830-257-2070
Mailing Address - Fax:830-896-7020
Practice Address - Street 1:218 SIDNEY BAKER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5367
Practice Address - Country:US
Practice Address - Phone:830-257-2070
Practice Address - Fax:830-257-2079
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH94572085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134681909Medicaid
TX8R1410OtherBLUE CROSS OF TEXAS
TX134681910Medicaid
TX134681911Medicaid
TX134681912Medicaid
NM300683000Medicaid
TX134681908Medicaid
NM300683000Medicaid
TX8B3873Medicare PIN
TX8B3872Medicare PIN
TX134681910Medicaid
TX134681908Medicaid
TX8D5879Medicare PIN
TXP00125353Medicare PIN
TX134681912Medicaid