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Organization

YELLOW WOLF SYSTEMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY WAYNE EAST D.O. (OWNER)
(214) 505-0833
Entity
Organization

Contact information

Practice address
16633 DALLAS PKWY # 125, ADDISON, TX 75001-6816
(214) 505-0833
Mailing address
16633 DALLAS PKWY # 125, ADDISON, TX 75001-6816
(214) 505-0833

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
06/20/2017
Last updated
07/21/2022
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