Individual
MARK A YEOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D7801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74193943977024A001
CHAMPUS
TX
01
—
870931
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
10/11/2007
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