MEDICARE: DAREN PATRICK YEAGER MD

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	207V00000X	Obstetrics & Gynecology Physician	K5750	TX

General Provider Information

NPI Number	:	1417923111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAREN PATRICK YEAGER MD

Provider Business Mailing Address
First Line	:	1100 E LAKE ST STE 260
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-3359
Country	:	US
Telephone Number	:	903-590-5700
Fax Number	:	903-590-5735

Provider Business Practice Location Address
First Line	:	1100 E LAKE ST STE 260
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-3359
Country	:	US
Telephone Number	:	903-590-5700
Fax Number	:	903-590-5735

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/25/2025

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