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Skyline Medical PLLC

Pain Medicine, Interventional Pain Medicine in Cedar Park, TX. Organization (NPI-2).

NPI number1760200216
StatusActive
Last updated in NPPESDec 9, 2024

Details

NPI
1760200216
Entity type
Organization (NPI-2)
Legal business name
Skyline Medical PLLC
Organization subpart
No
Enumeration date
Oct 2, 2024
Certification date
Dec 9, 2024
Last updated
Dec 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes
207L00000X Anesthesiology––
207LP2900X Anesthesiology, Pain Medicine––
208VP0000X ––

Practice location

200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701

Phone 512-777-1211 · Fax 512-777-1214

Mailing address

200 Buttercup Creek Blvd Ste 115
Cedar Park, TX 78613-3701

Phone 512-777-1211 · Fax 512-777-1214

Authorized official

David Kim
Manager
5127771211

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