| Richard Yentis Md | |
|
4388 W Vickery Blvd Ste 203 Fort Worth TX 76107-6339 | |
| (817) 988-8426 | |
| (817) 336-7124 |
| Full Name | Richard Yentis Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4388 W Vickery Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Richard David Yentis (PRESIDENT) |
| Authorized Official Contact | 8179888426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Yentis Md 2615 Simondale Dr Fort Worth TX 76109-1245 Ph: (817) 926-6621 | Richard Yentis Md 4388 W Vickery Blvd Ste 203 Fort Worth TX 76107-6339 Ph: (817) 988-8426 |
| NPI Number | 1467559666 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467559666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D5333 (Texas) | Primary |
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