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Individual
JUDY LYN YATES
Active
Individual
JUDY LYN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038579102
—
TX
05
—
038579103
—
TX
05
—
038579104
—
TX
05
—
038579105
—
TX
01
—
110224931
RR MEDICARE
TX
01
—
8B5301
BCBS
TX
Enumeration date
07/07/2006
Last updated
10/23/2020
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