Provider Demographics
NPI:1326578287
Name:MICHAEL G. KRYNSKI DPM PLLC
Entity type:Organization
Organization Name:MICHAEL G. KRYNSKI DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS-BOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-755-4637
Mailing Address - Street 1:800 BONAVENTURE WAY STE 133
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8006
Mailing Address - Country:US
Mailing Address - Phone:281-205-3681
Mailing Address - Fax:832-915-2360
Practice Address - Street 1:800 BONAVENTURE WAY STE 133
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8006
Practice Address - Country:US
Practice Address - Phone:281-205-3681
Practice Address - Fax:832-915-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1863261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric