MEDICARE: EMERALD HEALTH PROFESSIONALS, PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1356820245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD HEALTH PROFESSIONALS, PLLC

Provider Business Mailing Address
First Line	:	700 LAVACA ST STE 1401
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11855 LEBANON RD
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-8225
Country	:	US
Telephone Number	:	469-764-6950
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. REHAN SAEED YAZDANI
Credential	:	MD
Telephone Number	:	469-620-0132

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	06/01/2026

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