MEDICARE: DR. RONALD NORTON SKUFCA D.O.

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	207Q00000X	Family Medicine Physician	F0001	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1609877612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD NORTON SKUFCA D.O.

Provider Business Mailing Address
First Line	:	5315 ROSS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-7418
Country	:	US
Telephone Number	:	214-826-2151
Fax Number	:	214-826-2196

Provider Business Practice Location Address
First Line	:	5315 ROSS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206
Country	:	US
Telephone Number	:	214-826-2151
Fax Number	:	214-826-2196

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	09/04/2018

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