Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1958 | TX |
NPI | 1023271202 |
---|---|
Provider Name | Joseph L Yeargain |
First Address | Dallas, TX 75246 |
Second Address | Dallas, TX 75246-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 07/10/2020 |