Individual
CHARLES F YACKULIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 N LOCUST ST, DENTON, TX 76201-2954
(940) 387-6250
(940) 387-6274
Mailing address
914 N LOCUST ST, DENTON, TX 76201-2954
(940) 387-6250
(940) 387-6274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148742304
—
TX
Enumeration date
10/02/2006
Last updated
11/23/2009
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