Healthcare Provider Details

I. General information

NPI: 1194747261
Provider Name (Legal Business Name): JOHN CHRISTOPHER SKORY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 NORTH OREGON STREET
EL PASO TX
79902-3624
US

IV. Provider business mailing address

6609 TARASCAS DR
EL PASO TX
79912-2417
US

V. Phone/Fax

Practice location:
  • Phone: 915-577-6011
  • Fax:
Mailing address:
  • Phone: 915-276-8528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number551884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: