| Andrea Skoglund, Pllc | |
|
4502 Riverstone Blvd Ste 402 Missouri City TX 77459-5200 | |
| (832) 247-8066 | |
| Not Available |
| Full Name | Andrea Skoglund, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4502 Riverstone Blvd Ste 402, Missouri City, Texas |
| Authorized Official Name and Position | Andrea Skoglund (PRESIDENT) |
| Authorized Official Contact | 8322478066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Skoglund, Pllc 8615 S Fitzgerald Way Missouri City TX 77459-2475 Ph: () - | Andrea Skoglund, Pllc 4502 Riverstone Blvd Ste 402 Missouri City TX 77459-5200 Ph: (832) 247-8066 |
| NPI Number | 1447634241 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Medicare PECOS PAC ID | 8325387038 |
|---|---|
| Medicare Enrollment ID | O20190225001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447634241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 52381 (Texas) | Primary |
| Provider Name | Andrea Skoglund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891760021 PECOS PAC ID: 4688688096 Enrollment ID: I20190225001060 |
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