Organization Active NPI

Skelog LLC

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1841975844
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SKELOG LLC
Practice address
4327 Trizza CT
Katy, TX 77493-3055
Phone
(214) 901-2400
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ezekiel NwaniNPI 1457743346
Title
Owner
Phone
(214) 901-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4327 Trizza CT
Katy, TX 77493-3055

Mailing address

4327 Trizza CT
Katy, TX 77493-3055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1841975844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 TRIZZA CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 TRIZZA CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933055",
            "telephone_number": "214-901-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKELOG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "NWANI",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-901-2400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.