Healthcare Provider Details

I. General information

NPI: 1962695973
Provider Name (Legal Business Name): GEORGE YEAMAN GAINES III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 LONE MOOR CIRCLE GEORGE YEAMAN GAINES III MD
DALLAS TX
75248-1713
US

IV. Provider business mailing address

7720 LONE MOOR CIRCLE GEORGE YEAMAN GAINES III MD
DALLAS TX
75248-1713
US

V. Phone/Fax

Practice location:
  • Phone: 972-931-5703
  • Fax: 972-931-5703
Mailing address:
  • Phone: 972-931-5703
  • Fax: 972-931-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD5005
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: