| NPI | 1548827678 |
|---|---|
| Doing Business As | SKYE WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D ROBERTS Owner 325-500-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |