Individual
DR. BLAKE ARDEN YARASCAVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, SUITE B-3200, DALLAS, TX 75235-7701
(214) 456-6660
Mailing address
1935 MEDICAL DISTRICT DR, SUITE B-3200, DALLAS, TX 75235-7701
(214) 456-6660
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
581875
TX
Other
Enumeration date
07/20/2014
Last updated
07/20/2014
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