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NPI Code Detail

MEDICARE: SANDY K YIP MD

MEDICARE: SANDY K YIP MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician15664NV

General Provider Information

NPI Number : 1013070804
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY K YIP MD
Provider Business Mailing Address
First Line : 303 E MAIN ST
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-5246
Country : US
Telephone Number : 512-732-2774
Fax Number : 702-737-7495
Provider Business Practice Location Address
First Line : 2821 W HORIZON RIDGE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4429
Country : US
Telephone Number : 702-732-2774
Fax Number : 702-737-7495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/18/2023

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