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NPI Code Detail

MEDICARE: TRACY LEIGH SKRIPKA

MEDICARE: TRACY LEIGH SKRIPKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor65373TX

General Provider Information

NPI Number : 1013402890
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LEIGH SKRIPKA
Provider Business Mailing Address
First Line : 6021 FAIRMONT PKWY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 281-769-2238
Fax Number :
Provider Business Practice Location Address
First Line : 6021 FAIRMONT PKWY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 281-760-2238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 06/25/2018

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Directions to “ TRACY LEIGH SKRIPKA ” Practice Location

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