Healthcare Provider Details

I. General information

NPI: 1215016514
Provider Name (Legal Business Name): ARNOLD B SKOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17070 RED OAK DR STE 200
HOUSTON TX
77090-2615
US

IV. Provider business mailing address

17070 RED OAK DR STE 200
HOUSTON TX
77090-2615
US

V. Phone/Fax

Practice location:
  • Phone: 281-444-7077
  • Fax: 281-444-5799
Mailing address:
  • Phone: 281-444-7077
  • Fax: 281-444-5799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberD6174
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: