Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | T3414 | TX |
NPI | 1063807352 |
---|---|
Provider Name | Shahram Shawn Yari |
First Address | Mckinney, TX 75071-7064 |
Second Address | Mckinney, TX 75071-7064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 15/11/2021 |