MEDICARE: MR. YI-LIN CHAO

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	363A00000X	Physician Assistant	PA16770	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA16770	OTHER	TX	TEXAS PHYSICIAN ASSISTANT BOARD

General Provider Information

NPI Number	:	1568194413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YI-LIN CHAO

Provider Business Mailing Address
First Line	:	6210 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1098
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12779 WEST SH 29
Second Line	:
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642-6332
Country	:	US
Telephone Number	:	512-778-7003
Fax Number	:	512-406-7317

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

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	09/05/2025

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Directions to “ MR. YI-LIN CHAO ” Practice Location

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