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Individual

DR. MARK YEAKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7102 SHIPP RD, ROWLETT, TX 75088-4226
(972) 463-6890
(972) 463-6890
Mailing address
7102 SHIPP RD, ROWLETT, TX 75088-4226
(972) 463-6890
(972) 463-6890

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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