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Individual

NICOLE YOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
411 N WASHINGTON AVE, #1000, DALLAS, TX 75246-1713
(214) 824-9600
(214) 824-9601
Mailing address
PO BOX 192647, DALLAS, TX 75219-8524
(214) 824-9600
(214) 824-9601

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K3884
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
K3884
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8L12227
INDIVIDUAL PTAN
Enumeration date
06/28/2006
Last updated
05/27/2009
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