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NPI Code Detail

MEDICARE: YVETTE CEBRIAN MD

MEDICARE: YVETTE CEBRIAN 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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics PhysicianR2301TX

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 : 1538587449
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE CEBRIAN MD
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-2735
Fax Number :
Provider Business Practice Location Address
First Line : 4200 S LAKE FOREST DR STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7346
Country : US
Telephone Number : 214-592-0356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2014
Last Update Date : 03/17/2018

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