Yoder, Grady D

Yoder, Grady D is an individual health care provider with primary practice located at 401 Cypress #110, Abilene TX 79601-5122. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Yoder, Grady D can be contacted via phone (325) 677-2201.

Contact Information

Primary practice address
401 Cypress #110 Abilene TX 79601-5122
Phone: (325) 677-2201
Fax: (325) 677-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M3432 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M3432 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X M3432 Texas

Profile Details

NPI number 1497860605
LBN Legal business name Yoder, Grady D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Feb 4th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497860605 NPPES
Texas MEDICAID 183928404
Texas MEDICAID 279407100
Texas MEDICAID 183928401

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