Individual
MICHAEL SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(877) 445-1234
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(877) 445-1234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
98-01774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060346602
—
TX
Enumeration date
10/25/2006
Last updated
09/18/2008
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