MEDICARE: SCOTT W YATES 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	207R00000X	Internal Medicine Physician	J6825	TX

General Provider Information

NPI Number	:	1568451987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT W YATES MD

Provider Business Mailing Address
First Line	:	6020 W PARKER RD
Second Line	:	STE 420
City	:	PLANO
State	:	TX
Zip	:	75093-8171
Country	:	US
Telephone Number	:	972-244-1300
Fax Number	:	972-244-1351

Provider Business Practice Location Address
First Line	:	6020 W PARKER RD
Second Line	:	STE 420
City	:	PLANO
State	:	TX
Zip	:	75093-8171
Country	:	US
Telephone Number	:	972-244-1300
Fax Number	:	972-244-1351

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	02/02/2023

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