Doctor Name: | JOE ALLEN YATES |
NPI Number: | 1861401853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | F.N.P. |
License Number: | |
Business Practice Address: | 1417 North 1st Street Suite A Haskell, TX - 795210938 |
Business Phone Number: | 9408642636 |
Business Fax Number: | 9408643009 |
Mailing Address: | 1417 North 1st Street Suite A, HASKELL |
State: | TX |
Postal Code: | 795210938 |
Phone Number: | 9408642636 |
Fax Number: | 9408643009 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |