Provider Demographics
NPI:1902962566
Name:SKELTON, JAMES MATHISON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MATHISON
Last Name:SKELTON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6023 RIVERVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1435
Mailing Address - Country:US
Mailing Address - Phone:713-953-9020
Mailing Address - Fax:713-266-6297
Practice Address - Street 1:6023 RIVERVIEW WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1435
Practice Address - Country:US
Practice Address - Phone:713-953-9020
Practice Address - Fax:713-266-6297
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD9663207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00FH71Medicare ID - Type UnspecifiedPROVIDER NUMBER