Individual
DR. TYA-MAE YVETTE JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Mailing address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5401
TX
207RG0100X
Gastroenterology Physician
Primary
L5401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557076-01
—
TX
05
—
1557076-02
—
TX
01
—
8F4613
BCBS
TX
Enumeration date
08/20/2006
Last updated
11/13/2012
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