Skyiepal, Mark D

Skyiepal, Mark D is an individual health care provider with primary practice located at 14860 Montfort Dr Ste 115 , Dallas TX 75254-6873. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Skyiepal, Mark D can be contacted via phone (469) 431-5656.

Contact Information

Primary practice address
14860 Montfort Dr Ste 115 Dallas TX 75254-6873
Phone: (469) 431-5656
Fax: (877) 658-8663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J1570 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 2334 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X J1570 Texas

Profile Details

NPI number 1124040266
LBN Legal business name Skyiepal, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124040266 NPPES
Texas MEDICAID 046230104
Texas MEDICAID 046230106
Texas MEDICAID 100217995
Texas MEDICAID 046230105

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