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NPI Code Detail

MEDICARE: YAZMIN PRIETO PASCUAL

MEDICARE: YAZMIN PRIETO PASCUAL
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
1163W00000XRegistered Nurse878268TX
2363LG0600XGerontology Nurse Practitioner1068322TX

General Provider Information

NPI Number : 1386122000
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAZMIN PRIETO PASCUAL
Provider Business Mailing Address
First Line : 5473 BLAIR RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number : 903-714-1888
Fax Number :
Provider Business Practice Location Address
First Line : 5473 BLAIR RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number : 903-714-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 06/06/2025

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Directions to “ YAZMIN PRIETO PASCUAL ” Practice Location

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