MEDICARE: LINDA S YANCEY MD PA

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1952592966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA S YANCEY MD PA

Provider Business Mailing Address
First Line	:	1403 SCENIC RIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3404
Country	:	US
Telephone Number	:	832-335-0773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 SCENIC RIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3404
Country	:	US
Telephone Number	:	832-335-0773
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA S YANCEY
Credential	:	MD
Telephone Number	:	832-335-0773

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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