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Individual

DR. VLADISLAV L YEGANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
712 N WASHINGTON AVE, SUITE 411, DALLAS, TX 75246-1619
(214) 824-9100
(214) 824-9101
Mailing address
712 N WASHINGTON AVE, SUITE 411, DALLAS, TX 75246-1619
(214) 824-9100
(214) 824-9101

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L8562
TX

Other

Enumeration date
12/20/2005
Last updated
10/10/2008
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