Healthcare Provider Details

I. General information

NPI: 1730370933
Provider Name (Legal Business Name): MICHAEL DAVID YOLLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17207 KUYKENDAHL, SUITE 220
SPRING TX
77379
US

IV. Provider business mailing address

5105 RAINFLOWER CIRCLE NORTH
LEAGUE CITY TX
77573-4552
US

V. Phone/Fax

Practice location:
  • Phone: 281-880-9180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberBP1-0028925
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberN8875
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: