National Provider Identifier Database

WILLIAM S VYDRZAL, C.P. – NPI #1669721338
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

WILLIAM S VYDRZAL, C.P.
610 N. MAIN AVENUE
SAN ANTONIO, TX78205-1204
Phone: 210-225-6508
Fax: 210-225-1486
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for WILLIAM S VYDRZAL

NPI Number 1669721338
Credentials C.P.
Entity Individual
Enumeration date 09/10/2012
Last updated 04/05/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 1252
  • TX Other: 1252 TEXAS PROSTHETIC LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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