Individual
ANDREW LEONARD SKILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-8080
Mailing address
9050 N CAPITAL OF TEXAS HWY STE 180, AUSTIN, TX 78759-7288
(512) 816-7160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9663
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0023714
INSTITUTIONAL PERMIT
—
Enumeration date
05/31/2007
Last updated
06/28/2022
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