| Mark Yeakley Md Pa | |
|
7102 Shipp Rd Rowlett TX 75088-4226 | |
| (972) 226-8359 | |
| (972) 226-8359 |
| Full Name | Mark Yeakley Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7102 Shipp Rd, Rowlett, Texas |
| Authorized Official Name and Position | Mark Yeakley (PHYSICIAN) |
| Authorized Official Contact | 9722268359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Yeakley Md Pa 7102 Shipp Rd Rowlett TX 75088-4226 Ph: (972) 226-8359 | Mark Yeakley Md Pa 7102 Shipp Rd Rowlett TX 75088-4226 Ph: (972) 226-8359 |
| NPI Number | 1083803837 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 04/13/2010 |
| Medicare PECOS PAC ID | 6507846722 |
|---|---|
| Medicare Enrollment ID | O20040720001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083803837 | NPI | - | NPPES |
| 152122101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | E9469 (Texas) | Primary |
| Provider Name | Mark Yeakley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821171836 PECOS PAC ID: 4486634607 Enrollment ID: I20120223000453 |
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