Individual
JIN YOUNG MAYO SAKAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
505 S NOLEN DR STE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
12/21/2023
Last updated
02/28/2024
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