Michele Leigh Skladzien, PA
Physician Assistant in Grapevine, TX. Individual provider (NPI-1).
NPI number1104569433
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1104569433
- Entity type
- Individual (NPI-1)
- Name
- Michele Leigh Skladzien
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2022
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15684 | TX | Yes |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Other names
- Michele Leigh Morris (Former Name)
Practice location
2050 Hall Johnson Rd Ste 200Grapevine, TX 76051-8766
Phone 817-267-2678 · Fax 817-251-0039
Mailing address
2050 Hall Johnson Rd Ste 200Grapevine, TX 76051-8766
Phone 817-267-2678 · Fax 817-251-0039
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