Provider Demographics
NPI:1821086679
Name:SKLAR, JERALD LOUIS (M D)
Entity type:Individual
Prefix:DR
First Name:JERALD
Middle Name:LOUIS
Last Name:SKLAR
Suffix:
Gender:M
Credentials:M D
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Other - Credentials:
Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:10703 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3806
Practice Address - Country:US
Practice Address - Phone:214-987-3376
Practice Address - Fax:469-532-0273
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2024-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH3941207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE84680Medicare UPIN
TX00G58TMedicare ID - Type Unspecified