Individual
DR. RICHARD YOUATT-DECLAN FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W 38TH ST, 200, AUSTIN, TX 78705-1163
(512) 421-4100
(512) 454-4575
Mailing address
PO BOX 911230, AUSTIN, TX 78705
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H7055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1296519-06
—
TX
05
—
129651908
—
TX
01
—
P01768177
RAILROAD
TX
Enumeration date
06/30/2006
Last updated
04/10/2017
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