Individual
CHRIS G YIANTSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 TIBBETS DR, BEDFORD, TX 76022
(817) 283-5353
(817) 283-5355
Mailing address
2600 TIBBETS DR, BEDFORD, TX 76022
(817) 283-5353
(817) 283-5355
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-4781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034712201
—
TX
Enumeration date
08/31/2006
Last updated
09/13/2012
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