Individual
JUAN C YABRAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5920 FOREST PARK RD, STE 600, DALLAS, TX 75235-6416
(214) 902-1440
(214) 902-1593
Mailing address
PO BOX 580, ADDISON, TX 75001-0580
(972) 991-9950
(972) 991-9548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D7372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034587801
—
TX
Enumeration date
05/27/2005
Last updated
06/25/2008
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