Organization
SKYLINE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIM MD (MANAGER)
(512) 777-1211
Entity
Organization
Contact information
Practice address
200 BUTTERCUP CREEK BLVD STE 115, CEDAR PARK, TX 78613-3701
(512) 777-1211
(512) 777-1214
Mailing address
200 BUTTERCUP CREEK BLVD STE 115, CEDAR PARK, TX 78613-3701
(512) 777-1211
(512) 777-1214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
12/09/2024
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