MEDICARE: LINDA E YEATTS 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
1	207Q00000X	Family Medicine Physician	H5101	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	H5101	OTHER	TX	STATE

General Provider Information

NPI Number	:	1548268444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA E YEATTS MD

Provider Business Mailing Address
First Line	:	4401 N INTERSTATE 35
Second Line	:	SUITE 209
City	:	DENTON
State	:	TX
Zip	:	76207-3432
Country	:	US
Telephone Number	:	940-566-3700
Fax Number	:	940-566-3774

Provider Business Practice Location Address
First Line	:	4401 N INTERSTATE 35
Second Line	:	SUITE 209
City	:	DENTON
State	:	TX
Zip	:	76207-3432
Country	:	US
Telephone Number	:	940-566-3700
Fax Number	:	940-566-3774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/28/2013

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Directions to “ LINDA E YEATTS MD” Practice Location

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