Individual
SKYLAR MICHELLE BLUEBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4333 N JOSEY LN STE 302, CARROLLTON, TX 75010-4632
(469) 535-7200
Mailing address
6008 MAPLE AVE APT 374, DALLAS, TX 75235-6584
(210) 296-9235
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14484
TX
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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