Provider Demographics
NPI:1801179759
Name:SKABELUND, AMAYA DE LA GARZA (DO)
Entity Type:Individual
Prefix:DR
First Name:AMAYA
Middle Name:DE LA GARZA
Last Name:SKABELUND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:AMAYA
Other - Middle Name:DE LA GARZA
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:36065 SANTA FE AVENUE
Mailing Address - Street 2:PULMONARY CLINIC
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76554
Mailing Address - Country:US
Mailing Address - Phone:254-553-0280
Mailing Address - Fax:254-553-8790
Practice Address - Street 1:36065 SANTA FE AVENUE
Practice Address - Street 2:PULMONARY CLINIC
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76554
Practice Address - Country:US
Practice Address - Phone:254-553-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA068734207R00000X
TXR7879207RP1001X
GA68734207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine