Individual
MR. JACOB D SKORUPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
5929 BRIGHTWOOD DR, CORPUS CHRISTI, TX 78414-3029
(361) 876-6689
(361) 336-0217
Mailing address
5929 BRIGHTWOOD DR, CORPUS CHRISTI, TX 78414-3029
(361) 876-6689
(361) 336-0217
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
SA00374
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00374
TX
Other
Enumeration date
01/11/2008
Last updated
03/12/2023
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