# SKINNER CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760596944
- **Authorized official:** DR. CLAY R SKINNER M.D. (PRESIDENT)
- **Authorized official phone:** (210) 224-1771

## Contact information

- **Practice address:** 124 DALLAS ST, SAN ANTONIO, TX 78205-1202
- **Practice address phone:** (210) 224-1771
- **Practice address fax:** (210) 229-9138
- **Mailing address:** 124 DALLAS ST, SAN ANTONIO, TX 78205-1202
- **Mailing address phone:** (210) 224-1771
- **Mailing address fax:** (210) 229-9138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/11/2025