Healthcare Provider Details
I. General information
NPI: 1568999258
Provider Name (Legal Business Name): SKOR MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2017
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9359 LEGACY DR STE 300
FRISCO TX
75033-6710
US
IV. Provider business mailing address
9359 LEGACY DR STE 300
FRISCO TX
75033-6710
US
V. Phone/Fax
- Phone: 214-912-1261
- Fax:
- Phone: 214-619-2246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JARYL
KORPINEN
Title or Position: OWNER
Credential: DPM
Phone: 214-912-1261