Healthcare Provider Details

I. General information

NPI: 1235513243
Provider Name (Legal Business Name): JOSEPH L YEARGAIN DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 GASTON AVE SUITE 330
DALLAS TX
75246-1541
US

IV. Provider business mailing address

3801 GASTON AVE SUITE 330
DALLAS TX
75246-1541
US

V. Phone/Fax

Practice location:
  • Phone: 214-824-3851
  • Fax: 214-824-3852
Mailing address:
  • Phone: 214-824-3851
  • Fax: 214-824-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH LEE YEARGAIN
Title or Position: OWNER
Credential: DPM
Phone: 214-824-3852