Yeagley, Susanne Carol
Yeagley, Susanne Carol is an individual health care provider with primary practice located at 2100 Hedgcoxe Rd Ste 120 , Plano TX 75025-3163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Yeagley, Susanne Carol can be contacted via phone (972) 769-8443.Contact Information
Primary practice address
2100 Hedgcoxe Rd Ste 120
Plano TX 75025-3163
Phone: (972) 769-8443
Fax: (972) 769-2395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H5816 | Texas |
Profile Details
| NPI number | 1184686719 |
|---|---|
| LBN Legal business name | Yeagley, Susanne Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Feb 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184686719 | NPPES |
| Texas | MEDICAID | 102158604 | |
| Texas | Other | 8B4288 | |
| Texas | MEDICAID | 102158605 | |
| Texas | Other | 080177675 | |
| Texas | MEDICAID | 102158603 | |
| Texas | MEDICAID | 102158606 |
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