Individual
DR. MARK YEAKLEY
Active
Individual
DR. MARK YEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E9469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D70G
BLUE CROSS
TX
05
—
127983806
—
TX
Enumeration date
10/23/2006
Last updated
01/05/2012
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