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NPI Code Detail

MEDICARE: DR. JIAQI YAO MD PHD

MEDICARE: DR. JIAQI YAO MD PHD
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
12084N0600XClinical Neurophysiology PhysicianS8405TX
22084N0400XNeurology PhysicianS8405TX

General Provider Information

NPI Number : 1376907766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIAQI YAO MD PHD
Provider Business Mailing Address
First Line : 4708 ALLIANCE BLVD STE 550
Second Line :
City : PLANO
State : TX
Zip : 75093-5363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4708 ALLIANCE BLVD STE 550
Second Line :
City : PLANO
State : TX
Zip : 75093-5363
Country : US
Telephone Number : 469-800-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 02/09/2023

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Directions to “ DR. JIAQI YAO MD PHD” Practice Location

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