Provider Demographics
NPI:1982091674
Name:ASCHENBECK, KYLA R (MD)
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:R
Last Name:ASCHENBECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-314-1613
Mailing Address - Fax:512-314-1661
Practice Address - Street 1:5717 BALCONES DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4203
Practice Address - Country:US
Practice Address - Phone:512-314-1613
Practice Address - Fax:512-314-1661
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI70818207W00000X
TXS6566207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology