Provider Demographics
NPI:1336593524
Name:MAHER, SKYLER MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:MICHELLE
Last Name:MAHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SKYLER
Other - Middle Name:MICHELLE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2214 EMERY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2473
Mailing Address - Country:US
Mailing Address - Phone:940-384-7546
Mailing Address - Fax:940-220-4216
Practice Address - Street 1:2214 EMERY ST STE 300
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2473
Practice Address - Country:US
Practice Address - Phone:940-384-7546
Practice Address - Fax:402-204-2169
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS4018207N00000X
TXBP10056530207R00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1336593524OtherNPI