Healthcare Provider Details

I. General information

NPI: 1770671307
Provider Name (Legal Business Name): VICTORIA SKOBEL ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12720 HILLCREST RD STE 300
DALLAS TX
75230-2089
US

IV. Provider business mailing address

9330 LBJ FWY STE 800
DALLAS TX
75243-4310
US

V. Phone/Fax

Practice location:
  • Phone: 214-814-1550
  • Fax: 214-814-1350
Mailing address:
  • Phone: 972-792-5700
  • Fax: 214-506-1170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP115177
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: