Individual
DR. RONALD KOJI YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 WESTPARK WAY, STE A, EULESS, TX 76040
(817) 267-4238
(817) 545-7569
Mailing address
425 WESTPARK WAY, STE A, EULESS, TX 76040
(817) 267-4238
(817) 545-7569
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
E5291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AR98
BCBS
TX
Enumeration date
06/29/2006
Last updated
03/03/2010
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