Healthcare Provider Details

I. General information

NPI: 1730743824
Provider Name (Legal Business Name): NATALY YOKHANIS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WESTPARK WAY
EULESS TX
76040-3957
US

IV. Provider business mailing address

401 WESTPARK WAY
EULESS TX
76040-3957
US

V. Phone/Fax

Practice location:
  • Phone: 817-800-8885
  • Fax: 817-283-5151
Mailing address:
  • Phone: 817-283-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36.004047
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692289
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: