Healthcare Provider Details

I. General information

NPI: 1932364775
Provider Name (Legal Business Name): JOSH CHANDLER SKORUPSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13325 HARGRAVE RD STE 250
HOUSTON TX
77070-4545
US

IV. Provider business mailing address

PO BOX 631607
CINCINNATI OH
45263-1607
US

V. Phone/Fax

Practice location:
  • Phone: 713-730-2229
  • Fax: 832-237-1436
Mailing address:
  • Phone: 713-300-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number4301091778
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberN9960
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: