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NPI Code Detail

MEDICARE: RAPHAEL YE DO

MEDICARE: RAPHAEL YE DO
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianR3458TX
2208VP0014XInterventional Pain Medicine PhysicianR3458TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326314584
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAPHAEL YE DO
Provider Business Mailing Address
First Line : 7103 DAUGHERTY ST
Second Line :
City : AUSTIN
State : TX
Zip : 78757-2117
Country : US
Telephone Number : 646-753-2043
Fax Number :
Provider Business Practice Location Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-444-7246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2012
Last Update Date : 06/02/2023

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