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NPI Code Detail

MEDICARE: VIVIANE B SKALIKS FNP

MEDICARE: VIVIANE B SKALIKS FNP
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
1363LF0000XFamily Nurse PractitionerAP124264TX
2363LF0000XFamily Nurse Practitioner802248TX

General Provider Information

NPI Number : 1780018861
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIANE B SKALIKS FNP
Provider Business Mailing Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number : 214-526-6851
Provider Business Practice Location Address
First Line : 9991 MARSH LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1766
Country : US
Telephone Number : 214-358-0090
Fax Number : 214-526-6851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 05/10/2017

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