| Craig Yetter, DO, P.A. | |
|
2203 W Lampasas St Suite 111 Ennis TX 75119-5644 | |
| (972) 875-2424 | |
| (972) 875-1244 |
| Full Name | Craig Yetter, DO, P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 2203 W Lampasas St, Ennis, Texas |
| Authorized Official Name and Position | Craig S. Yetter (MEMBER) |
| Authorized Official Contact | 9728752424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Yetter, DO, P.A. 2203 W Lampasas St Suite 111 Ennis TX 75119-5644 Ph: (972) 875-2424 | Craig Yetter, DO, P.A. 2203 W Lampasas St Suite 111 Ennis TX 75119-5644 Ph: (972) 875-2424 |
| NPI Number | 1295749190 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295749190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2916 (Texas) | Primary |
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