Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob D Skoruppa, LSA

Individual provider Surgical Technologist · NPI 1215113022

Mr. Jacob D Skoruppa, LSA is a Surgical Technologist in Corpus Christi, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

5929 Brightwood Dr
Corpus Christi, TX 78414-3029
Phone: (361) 876-6689
Fax: (361) 336-0217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00374 (TX)
Surgical Technologist Taxonomy 246ZS0410X · Licence SA00374 (TX)

Record details

NPI number1215113022
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedJanuary 11, 2008
Last updated in NPPESMarch 12, 2023
Certification dateMarch 12, 2023

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