| Yellow Wolf Systems | |
|
16633 Dallas Pkwy # 125 Addison TX 75001-6816 | |
| (214) 505-0833 | |
| Not Available |
| Full Name | Yellow Wolf Systems |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16633 Dallas Pkwy # 125, Addison, Texas |
| Authorized Official Name and Position | Johnny Wayne East (OWNER) |
| Authorized Official Contact | 2145050833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow Wolf Systems 16633 Dallas Pkwy # 125 Addison TX 75001-6816 Ph: (214) 505-0833 | Yellow Wolf Systems 16633 Dallas Pkwy # 125 Addison TX 75001-6816 Ph: (214) 505-0833 |
| NPI Number | 1922528199 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922528199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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