Individual
DR. KIMBERLY JEAN YAMANOUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119200701
—
TX
Enumeration date
09/08/2006
Last updated
10/01/2012
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