MEDICARE: JOHN CHRISTOPHER SKORY NP

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
1	363L00000X	Nurse Practitioner	551884	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	551884	OTHER	TX	NURSE PRACTITIONERS

General Provider Information

NPI Number	:	1194747261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CHRISTOPHER SKORY NP

Provider Business Mailing Address
First Line	:	6609 TARASCAS DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-2417
Country	:	US
Telephone Number	:	915-276-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 NORTH OREGON STREET
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3624
Country	:	US
Telephone Number	:	915-577-6011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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