Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Sulak, DO

Individual provider Anesthesiology Physician · NPI 1104244201

Kyle Sulak, DO is an Anesthesiology in Waco, Texas. Qualified in 2014, 12 years ago. Practices with Mid Tex Anesthesia Assoc, a 28-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

405 Londonderry Dr Ste 105
Waco, TX 76712
Phone: (254) 776-0266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence R4906 (TX)

Record details

NPI number1104244201
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESJuly 11, 2023
Certification dateJune 28, 2023
Mailing address405 Londonderry Dr Ste 105, Waco, TX 76712-7920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mid Tex Anesthesia Assoc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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