Individual
JEAN RENE YATES-HALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
209 W MAIN STREET, SUITE D, HALLSVILLE, TX 75650
(903) 668-7462
(903) 668-7400
Mailing address
PO BOX 873, HALLSVILLE, TX 75650-0873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334524102
—
TX
05
—
334524103
—
TX
05
—
334524105
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
751976930005
TRICARE
TX
01
—
8071NR
BCBS
TX
01
—
8590NP
BCBS
TX
01
—
8983NM
BCBS
TX
01
—
8987NU
BCBS
TX
01
—
P01434527
RAIL ROAD MEDICARE
TX
01
—
P01479468
RAIL ROAD MEDICARE
TX
01
—
P01635747
RAIL ROAD MEDICARE
TX
Enumeration date
07/08/2005
Last updated
02/15/2022
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