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

Skyllar McDaniel Polvadore

Individual provider Physician Assistant · NPI 1104436187

Skyllar McDaniel Polvadore is a Physician Assistant in Wichita Falls, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2021, 5 years ago. Practices with United Regional Physician Group, a 108-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone: (940) 764-5200
Fax: (940) 764-5201
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Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence P15120 (TX)

Record details

NPI number1104436187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESDecember 29, 2023
Certification dateDecember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice United Regional Physician Group — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita Falls