WILLIAM STANLEY VYDRZAL


Address: 111 Dallas St, Ste 200-a, San Antonio, TX 78205-1201
Phone: 2102256508

WILLIAM STANLEY VYDRZAL (NPI# 1669721338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669721338
Entity Type Individual
Full Name WILLIAM STANLEY VYDRZAL
Credential C.P.
Practice Address 111 Dallas St
Ste 200-a
San Antonio
TX 78205-1201
Mailing Address 5047 Sherri Ann Rd
San Antonio
TX 78233-6213
Practice Telephone 2102256508
Mailing Telephone 2102374358
Enumeration Date 2012-09-10
Last Update Date 2012-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist 1252 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS PROSTHETIC LICENSE 1252 01

Office Location

Street Address 111 DALLAS ST
STE 200-A
City SAN ANTONIO
State TX
Zip Code 78205-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063412666 Select Specialty Hospital - San Antonio Inc Long Term Care Hospital 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 2005-07-26
1366040487 Charlene Devyn Anderson Nurse Practitioner 111 Dallas St, San Antonio, TX 78205-1201 2020-10-12
1043832777 Briana Rochelle Garza Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2020-05-15
1477182186 Lu Ge Pharmacist 111 Dallas St, San Antonio, TX 78205-1201 2020-04-04
1629621909 Shawn Timothy Woodland Occupational Therapist 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 2019-07-16
1457821290 Blanca Azucena Macias Nurse Practitioner 111 Dallas St, San Antonio, TX 78205-1201 2018-12-04
1801376637 Matthew Joseph Kraus Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2018-08-21
1174002208 Hospitalist Medicine Physicians of Texas - San Antonio, Pllc Internal Medicine 111 Dallas St, San Antonio, TX 78205-1201 2018-08-09
1639661820 Ashley Nicole Brown Nurse Practitioner 111 Dallas St, San Antonio, TX 78205 2018-06-04
1639689193 Baptist Diagnostics, LLC Clinical Medical Laboratory 111 Dallas St, San Antonio, TX 78205-1201 2017-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356997332 Taylor Nicole Hickson Prosthetist 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 2019-08-14
1588226211 New Life Brace and Limb, LLC Prosthetist 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 2019-07-02
1841705308 Connie Thomas Prosthetist 5946 Blanco Rd Ste 101, San Antonio, TX 78216-6634 2017-12-06
1023528015 Prosthetic Technology Center, Inc Prosthetist 7254 Blanco Rd Ste 200, San Antonio, TX 78216-4930 2017-10-04
1811253990 Jaclyn Suzanne Astorga Prosthetist 7400 Merton Minter St # 121, San Antonio, TX 78229-4404 2012-04-03
1356610596 Randolph Farley Prosthetist 4319 Medical Dr Ste 106, San Antonio, TX 78229-3325 2011-12-16
1497727259 Ricardo Morales Ramos Prosthetist 8519 Callaghan Rd, San Antonio, TX 78230-4948 2006-02-06
1811255714 Phillip Harrison Prosthetist 1901 Babcock Rd, San Antonio, TX 78229-4554 2012-04-27
1700170578 Jeffrey Robert Forbes Prosthetist 111 Dallas St, Suite 200-a, San Antonio, TX 78205-1201 2011-06-08
1619158409 Ramos Prosthetics & Pedorthics Prosthetist 8519 Callaghan Rd, San Antonio, TX 78230-4948 2007-11-20
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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