Provider Demographics
NPI:1952304529
Name:SKAPEK, STEPHEN X (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:X
Last Name:SKAPEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CTR
Mailing Address - Street 2:5323 HARRY HINES BLVD
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9063
Mailing Address - Country:US
Mailing Address - Phone:214-648-3081
Mailing Address - Fax:214-648-3122
Practice Address - Street 1:UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CTR
Practice Address - Street 2:5323 HARRY HINES BLVD
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9063
Practice Address - Country:US
Practice Address - Phone:214-648-3081
Practice Address - Fax:214-648-3122
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN311992080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX060514901Medicaid
OK100049610AMedicaid
MI104699550Medicaid
OH2612944Medicaid
ME422400000Medicaid
NC7613394Medicaid
MS00120392Medicaid
NJ0076112Medicaid
IA0527903Medicaid
MO205030000Medicaid
TN3838358Medicaid
AR136342001Medicaid
LA1558061Medicaid
AL009913010Medicaid
WY1141236 00Medicaid
AZ715419Medicaid
VA6700179Medicaid
SCQ31199Medicaid
NC7613394Medicaid