Organization
GREGORY SKIE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LYNN SKIE M.D. (OWNER)
(817) 453-7771
Entity
Organization
Contact information
Practice address
700 HUNTERS ROW CT, MANSFIELD, TX 76063-4001
(817) 453-7771
(817) 453-6149
Mailing address
700 HUNTERS ROW CT, MANSFIELD, TX 76063-4001
(817) 453-7771
(817) 453-6149
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
G5617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1673295
—
TX
Enumeration date
07/26/2005
Last updated
11/28/2007
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