| Chris G. Yiantsou M.d., P.a. | |
|
2600 Tibbets Dr Bedford TX 76022-6998 | |
| (817) 283-5353 | |
| (817) 283-5355 |
| Full Name | Chris G. Yiantsou M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Tibbets Dr, Bedford, Texas |
| Authorized Official Name and Position | Chris Gus Yiantsou (PRESIDENT) |
| Authorized Official Contact | 8172835353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris G. Yiantsou M.d., P.a. 2600 Tibbets Dr Bedford TX 76022-6998 Ph: (817) 283-5353 | Chris G. Yiantsou M.d., P.a. 2600 Tibbets Dr Bedford TX 76022-6998 Ph: (817) 283-5353 |
| NPI Number | 1215240874 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 08/01/2012 |
| Medicare PECOS PAC ID | 4688844947 |
|---|---|
| Medicare Enrollment ID | O20110824000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215240874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E4781 (Texas) | Primary |
| Provider Name | Chris Yiantsou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376654988 PECOS PAC ID: 8426228420 Enrollment ID: I20110831000129 |
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