Provider Demographics
NPI:1083139018
Name:HOLEIGH J. SKYLER FOUNDATION
Entity type:Organization
Organization Name:HOLEIGH J. SKYLER FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RESEARCH
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:927-275-9515
Mailing Address - Street 1:PO BOX 4062
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-0062
Mailing Address - Country:US
Mailing Address - Phone:972-275-9515
Mailing Address - Fax:602-773-0865
Practice Address - Street 1:9641 ARBOR CT
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-6426
Practice Address - Country:US
Practice Address - Phone:940-728-0154
Practice Address - Fax:602-773-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health