Individual
MR. GARY R SKELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4949 GUS ECKERT RD, SAN ANTONIO, TX 78240-4471
(210) 690-0360
Mailing address
11734 POPPY SANDS, SAN ANTONIO, TX 78245-3221
(254) 423-3388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1087296
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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