Tracey L. Yothers is a Pediatrics in Dallas, Texas. Tracey L. Yothers practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tracey L. Yothers is 1356404008. The last update date is 2010-07-08.
Tracey L. Yothers's current location address is 7306 Blackwillow Ln, Dallas, Texas. You can contact this provider via phone number 9722987249 and fax number 9722986740. The mailing address for Tracey L. Yothers is 7306 Blackwillow Ln, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey L. Yothers |
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Address | 7306 Blackwillow Ln, Dallas, Texas |
Phone Number | 9722987249 |
Fax Number | 9722986740 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1356404008 |
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Provider Enumeration Date | 2006-12-17 |
Last Updated Date | 2010-07-08 |
Provider Mailing Address Detail
Address | 7306 Blackwillow Ln |
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City | Dallas |
State | Texas (TX) |
Post Code | 752491430 |
Phone Number | 9722987249 |
Fax Number | 9722986740 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 152Wp0200X |
Licence No | 05168TG |
Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00E52G | TX | GROUP BCBS NUMBER | |
176941601 | TX | -- | |
T13054 | TX | INDIVIDUAL BCBS | |
21948 | TX | BLOCK MEDICAID LOCAT # | |
40972404 | TX | -- | |
921409 | TX | INDIVIDUAL BLOCK MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey L. Yothers by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey L. Yothers has been assigned the NPI (National Provider Identifier) 1356404008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tracey L. Yothers?
The Tracey L. Yothers is physically situated at 7306 Blackwillow Ln, in the city of Dallas, state of TX, with the postal code 752491430.
What is Tracey L. Yothers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey L. Yothers is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 152Wp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356404008 to Tracey L. Yothers?
The Centers for Medicare & Medicaid Services originally issued the 1356404008 to Tracey L. Yothers on 2006-12-17.
As of what date were the details pertaining to Tracey L. Yothers last refreshed?
The information related to the Tracey L. Yothers, including its address, specialty, and other relevant details, was last updated on 2010-07-08.