Doctor Name: | MR. MATY YAKOBY |
NPI Number: | 1780065250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | BP10054364 |
Business Practice Address: | 701 W 5th Street Odessa, TX - 79763 |
Business Phone Number: | 4327035375 |
Business Fax Number: | |
Mailing Address: | Rokach-israel St 13 Apt 5, BEER-SHEVA |
State: | ISRAEL |
Postal Code: | 84488 |
Phone Number: | 3237233922 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2015 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP10054364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |