Basic Information
| Provider Information | |||||||||
| NPI: | 1538407473 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KARULAK | ||||||||
| FirstName: | BRYCE | ||||||||
| MiddleName: | JARROD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10010 ROGERS XING STE 308 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782514776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8306327927 | ||||||||
| FaxNumber: | 8306326568 | ||||||||
| Practice Location | |||||||||
| Address1: | 10010 ROGERS XING STE 308 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782514776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105985605 | ||||||||
| FaxNumber: | 2105985620 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2013 | ||||||||
| LastUpdateDate: | 10/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0103X | 2156 | TX | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
No ID Information.