MEDICARE: DR. PHYLLIS GAIL YOHE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	H7854	TX

General Provider Information

NPI Number	:	1326198839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHYLLIS GAIL YOHE D.O.

Provider Business Mailing Address
First Line	:	1 CHISHOLM TRL
Second Line	:	SUITE 5100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5008
Country	:	US
Telephone Number	:	512-388-9855
Fax Number	:	512-388-5869

Provider Business Practice Location Address
First Line	:	1 CHISHOLM TRL
Second Line	:	SUITE 5100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5008
Country	:	US
Telephone Number	:	512-388-9855
Fax Number	:	512-388-5869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/09/2007

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