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CRAIG YETTER DO P.A. NPI 1295749190


NPI Information

NPI: 1295749190
Provider Name: CRAIG YETTER, DO, P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2203 W LAMPASAS ST
SUITE 111
ENNIS, TX
ZIP 75119
Phone: (972) 875-2424
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CRAIG YETTER, DO, P.A. is a family medicine in Ennis, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CRAIG YETTER, DO, P.A. NPI is 1295749190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2203 W LAMPASAS ST
SUITE 111
ENNIS, TX
ZIP 75119-644
Phone: (972) 875-2424
Fax: (972) 875-1244

The provider's authorized official is Craig S. Yetter .
The authorized official title is Member and has the following contact phone number (972) 875-2424.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH2916TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100X020MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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