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NPI Code Detail

MEDICARE: STEVEN ANTHONY SKAGGS PA-C

MEDICARE:   STEVEN ANTHONY SKAGGS  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA05254TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255302782
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ANTHONY SKAGGS PA-C
Provider Business Mailing Address
First Line : 9515 LINDEN AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3232
Country : US
Telephone Number : 206-217-9449
Fax Number : 206-217-6636
Provider Business Practice Location Address
First Line : 7703 FLOYD CURL DRIVE - MC 6249
Second Line : UT HEALTH SCIENCE CENTER SAN ANTONIO
City : SAN ANTONIO
State : TX
Zip : 78229
Country : US
Telephone Number : 210-567-4244
Fax Number : 210-567-4241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/27/2018

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