MEDICARE: UMA YARLAGADDA 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	2084P0800X	Psychiatry Physician	TEMPUY	TX
2	2084P0800X	Psychiatry Physician	M4987	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05531843	OTHER		ECFMG
2	1457859662	OTHER	TX	PRACTICE NPI

General Provider Information

NPI Number	:	1306940952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMA YARLAGADDA MD

Provider Business Mailing Address
First Line	:	6344 DAVIS BLVD STE 200
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4762
Country	:	US
Telephone Number	:	817-431-3838
Fax Number	:	817-431-3135

Provider Business Practice Location Address
First Line	:	6344 DAVIS BLVD STE 200
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4762
Country	:	US
Telephone Number	:	817-431-3838
Fax Number	:	817-431-3135

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	02/04/2022

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Directions to “ UMA YARLAGADDA MD” Practice Location

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