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NPI Code Detail

MEDICARE: DR. SHAWN J SKEEN MD

MEDICARE: DR. SHAWN J SKEEN MD
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
1207RC0000XCardiovascular Disease PhysicianN0467TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396904553
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN J SKEEN MD
Provider Business Mailing Address
First Line : PO BOX 21327
Second Line :
City : WACO
State : TX
Zip : 76702-1327
Country : US
Telephone Number : 254-399-5400
Fax Number : 254-772-8669
Provider Business Practice Location Address
First Line : 7125 NEW SANGER AVE STE A
Second Line :
City : WACO
State : TX
Zip : 76712-4054
Country : US
Telephone Number : 254-399-5400
Fax Number : 254-772-8669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 03/03/2026

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