| Nathaniel T. Yokubaitis, M.d., P.a. | |
|
3608 Preston Rd Suite 120 Plano TX 75093-8654 | |
| (972) 964-2950 | |
| (972) 852-7962 |
| Full Name | Nathaniel T. Yokubaitis, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3608 Preston Rd, Plano, Texas |
| Authorized Official Name and Position | Nathaniel Thomas Yokubaitis (PRESIDENT) |
| Authorized Official Contact | 9729642950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel T. Yokubaitis, M.d., P.a. 3608 Preston Rd Suite 120 Plano TX 75093-8654 Ph: (972) 964-2950 | Nathaniel T. Yokubaitis, M.d., P.a. 3608 Preston Rd Suite 120 Plano TX 75093-8654 Ph: (972) 964-2950 |
| NPI Number | 1356488993 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/25/2009 |
| Medicare PECOS PAC ID | 6901872829 |
|---|---|
| Medicare Enrollment ID | O20040902000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356488993 | NPI | - | NPPES |
| 1972727097 | Other | TX | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L3201 (Texas) | Primary |
| Provider Name | Nathaniel T Yokubaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972727097 PECOS PAC ID: 3971579897 Enrollment ID: I20091215000155 |
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