MEDICARE: JACKIE R YORK 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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	M9756	TX

General Provider Information

NPI Number	:	1134117559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKIE R YORK MD

Provider Business Mailing Address
First Line	:	3500 GASTON AVE
Second Line	:	3 HOB - DEPARTMENT OF NEONATOLOGY
City	:	DALLAS
State	:	TX
Zip	:	75246-2017
Country	:	US
Telephone Number	:	214-820-7604
Fax Number	:	214-820-2370

Provider Business Practice Location Address
First Line	:	3500 GASTON AVE
Second Line	:	3 HOP - DEPARTMENT OF NEONATOLOGY
City	:	DALLAS
State	:	TX
Zip	:	75246-2017
Country	:	US
Telephone Number	:	214-820-7604
Fax Number	:	214-820-2370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/07/2008

Similar Medicare Providers

1639175847 — DR. SHARON GRIMES BAKOS M.D.
Practice Location Address:

3500 GASTON AVE , LABOR AND DELIVERY
DALLAS, TX
75246-2017

Practice Phone: 866-240-8099
Practice Fax: 972-255-8549

1134129851 — BAYLOR UNIVERSITY MEDICAL CENTER
Practice Location Address:

3500 GASTON AVE
DALLAS, TX
75246-2017

Practice Phone: 214-820-1913
Practice Fax: 214-820-4283

1447250253 — BAYLOR UNIVERSITY MEDICAL CENTER
Practice Location Address:

3500 GASTON AVE
DALLAS, TX
75246-2017

Practice Phone: 214-820-0111
Practice Fax: 214-820-4283

1467449231 — JOSHUA AARON FRANKFURT MD
Practice Location Address:

3500 GASTON AVE
DALLAS, TX
75246-2017

Practice Phone: 214-820-7604
Practice Fax:

1114902111 — FREDERICK GUTIERREZ TINIO MD
Practice Location Address:

3500 GASTON AVE , 4 ROBERTS
DALLAS, TX
75246-2017

Practice Phone: 214-820-3011
Practice Fax:

1194705301 — KENNITH F LAYTON M.D.
Practice Location Address:

3500 GASTON AVE
DALLAS, TX
75246-2017

Practice Phone: 214-826-8822
Practice Fax: 214-826-9792

Directions to “ JACKIE R YORK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.