MEDICARE: KRISTEN YAZZIE

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	111N00000X	Chiropractor	16695	TX

General Provider Information

NPI Number	:	1184586794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN YAZZIE

Provider Business Mailing Address
First Line	:	4516 SERVERUS WAY
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-2340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 KIOWA DR W # 302
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-9584
Country	:	US
Telephone Number	:	940-202-1338
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ KRISTEN YAZZIE ” Practice Location

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