Organization
YK2YK IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YADRANKO DUCIC M.D. (PRESIDENT)
(817) 908-8124
Entity
Organization
Contact information
Practice address
1700 GLADE ROAD, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339
Mailing address
1700 GLADE ROAD, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K3716
TX
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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