SKYLINE MEDICAL PLLC NPI 1760200216

NPI Information

  • NPI: 1760200216
  • Provider Name: SKYLINE MEDICAL PLLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 45D2316066
  • Address: 200 BUTTERCUP CREEK BLVD STE 115
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 777-1211

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NPI Details

SKYLINE MEDICAL PLLC is an interventional pain medicine pain medicine in Cedar Park, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SKYLINE MEDICAL PLLC NPI is 1760200216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 BUTTERCUP CREEK BLVD STE 115
CEDAR PARK, TX
ZIP 78613-701
Phone: (512) 777-1211
Fax: (512) 777-1214

The provider's authorized official is David Kim .
The authorized official title is Manager and has the following contact phone number (512) 777-1211.

The CLIA number assigned to this NPI record is 45D2316066 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2024 and was last updated on 12/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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