Individual
MELVIN YEZAK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366260301
—
TX
Enumeration date
11/29/2016
Last updated
02/25/2025
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