Individual
KATHRYN L YORKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2551 TEXAS AVE S STE B, COLLEGE STATION, TX 77840-5080
(979) 764-0669
(979) 694-1940
Mailing address
2551 TEXAS AVE S STE B, COLLEGE STATION, TX 77840-5080
(979) 764-0669
(979) 694-1940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2905TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-3508879
TAX ID
TX
01
—
80553Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/03/2006
Last updated
08/24/2011
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