Doctor Name: | JOSEPH L YEARGAIN |
NPI Number: | 1023271202 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 1958 |
Business Practice Address: | 1940 E State Highway 114 Southlake, TX - 760926526 |
Business Phone Number: | 8174243668 |
Business Fax Number: | |
Mailing Address: | 1940 E State Highway 114, SOUTHLAKE |
State: | TX |
Postal Code: | 760926526 |
Phone Number: | 8174243668 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2008 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |