Individual ProviderDaniel StypulaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address4502 Medical Dr, San Antonio, TX 78229-4402(210) 567-4500PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Stypula is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063706976Provider TypeIndividualFull NameStypula, DanielTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date6/8/2011Last Updated6/7/2022Contact InformationPractice LocationPractice Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 567-4500Fax(210) 567-0083Mailing LocationMailing Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 567-4500Fax(210) 567-0083Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseS6951TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense0102203364VirginiaProvider IdentifiersIDDescriptionIssuerID414651602DescriptionOtherIssuerCSHCNTexasID414651601DescriptionMedicaidIssuerUnlistedTexas