Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 41577 | IA |
N | 207W00000X | Ophthalmologist | S5607 | TX |
N | 207WX0107X | Retina Specialist | 41577 | IA |
Y | 207WX0107X | Retina Specialist | S5607 | TX |
NPI | 1033403100 |
---|---|
Provider Name | Dr. Yasser Elshatory |
First Address | Plano, TX 75075-6188 |
Second Address | Plano, TX 75075-6188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 16/12/2020 |