Individual
GRADY D YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 CYPRESS, #110, ABILENE, TX 79601-5122
(325) 677-2201
(325) 677-7641
Mailing address
PO BOX 2898, ABILENE, TX 79604-2898
(325) 677-2201
(325) 677-7641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M3432
TX
2085R0202X
Diagnostic Radiology Physician
M3432
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M3432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183928401
—
TX
05
—
183928404
—
TX
05
—
279407100
—
FL
Enumeration date
08/20/2006
Last updated
02/04/2010
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