Provider Demographics
NPI:1144869363
Name:BLUE SKYES HEALTH & CARE PLLC
Entity type:Organization
Organization Name:BLUE SKYES HEALTH & CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:V
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-382-9719
Mailing Address - Street 1:4201 MEDICAL DR STE 370
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5623
Mailing Address - Country:US
Mailing Address - Phone:210-742-2330
Mailing Address - Fax:210-775-0084
Practice Address - Street 1:4201 MEDICAL DR STE 370
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5623
Practice Address - Country:US
Practice Address - Phone:210-742-2330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty