Healthcare Provider Details

I. General information

NPI: 1093570251
Provider Name (Legal Business Name): SKYLER NICOLE HAND PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SKYLER CLARK

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 MOURSUND ST
HOUSTON TX
77030-3408
US

IV. Provider business mailing address

1333 MOURSUND ST
HOUSTON TX
77030-3408
US

V. Phone/Fax

Practice location:
  • Phone: 713-797-7634
  • Fax:
Mailing address:
  • Phone: 713-500-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA20702
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: