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NPI Code Detail

MEDICARE: ROBERT A. SKJONSBY MD

MEDICARE:   ROBERT A. SKJONSBY  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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianG7590TX
2207P00000XEmergency Medicine PhysicianG7590TX

Other Identifiers

General Provider Information

NPI Number : 1780626853
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A. SKJONSBY MD
Provider Business Mailing Address
First Line : 7410 REED DR
Second Line :
City : LEANDER
State : TX
Zip : 78641-9149
Country : US
Telephone Number : 512-331-7772
Fax Number :
Provider Business Practice Location Address
First Line : 12221 N MO PAC EXPY
Second Line :
City : AUSTIN
State : TX
Zip : 78758-2415
Country : US
Telephone Number : 512-901-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/14/2010

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