Healthcare Provider Details

I. General information

NPI: 1417157561
Provider Name (Legal Business Name): GABRIEL MARK YEAMANS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CAMPBELL RD # SSB4.600
RICHARDSON TX
75080-3021
US

IV. Provider business mailing address

3600 ACROPOLIS WAY
PLANO TX
75074-8909
US

V. Phone/Fax

Practice location:
  • Phone: 972-439-5540
  • Fax:
Mailing address:
  • Phone: 214-882-7454
  • Fax: 888-763-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberN8258
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: