Individual provider · Type 1 NPI

Skyllar McDaniel Polvadore

Physician Assistant · Wichita Falls, TX

NPI number 1104436187 Active

Practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Fax (940) 764-5201

Other practice locations

  • 4327 Barnett Rd, Wichita Falls, TX 76310-2303 · (940) 764-5200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XP15120 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104436187

Skyllar McDaniel Polvadore's National Provider Identifier is 1104436187, issued on Aug 5, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wichita Falls, TX. The record was last updated on Dec 29, 2023.