MEDICARE: MARILYN YATES D.C.

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	111N00000X	Chiropractor	13116	TX

General Provider Information

NPI Number	:	1598213738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN YATES D.C.

Provider Business Mailing Address
First Line	:	9669 N CENTRAL EXPY
Second Line	:	SUITE. 200
City	:	DALLAS
State	:	TX
Zip	:	75231-5053
Country	:	US
Telephone Number	:	214-265-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9669 N CENTRAL EXPY
Second Line	:	SUITE. 200
City	:	DALLAS
State	:	TX
Zip	:	75231-5053
Country	:	US
Telephone Number	:	214-265-9000
Fax Number	:

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

Provider Enumeration Date	:	09/16/2016
Last Update Date	:	09/16/2016

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Directions to “ MARILYN YATES D.C.” Practice Location

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