Provider Demographics
NPI:1538407473
Name:KARULAK, BRYCE JARROD (DPM)
Entity type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:JARROD
Last Name:KARULAK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10010 ROGERS XING STE 308
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4776
Mailing Address - Country:US
Mailing Address - Phone:830-632-7927
Mailing Address - Fax:830-632-6568
Practice Address - Street 1:10010 ROGERS XING STE 308
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4776
Practice Address - Country:US
Practice Address - Phone:210-598-5605
Practice Address - Fax:210-598-5620
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2156213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFK3560201OtherDEA
TX20190727OtherDPS
TXFK3560201OtherDEA