Organization
CHRIS G. YIANTSOU M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS GUS YIANTSOU M.D., P.A. (PRESIDENT)
(817) 283-5353
Entity
Organization
Contact information
Practice address
2600 TIBBETS DR, BEDFORD, TX 76022-6998
(817) 283-5353
(817) 283-5355
Mailing address
2600 TIBBETS DR, BEDFORD, TX 76022-6998
(817) 283-5353
(817) 283-5355
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E4781
TX
Other
Enumeration date
07/23/2010
Last updated
08/01/2012
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