Provider Demographics
NPI:1285622563
Name:YANKUNER, HARRY (DPM)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:
Last Name:YANKUNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 FOREST LANE
Mailing Address - Street 2:121
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6101
Mailing Address - Country:US
Mailing Address - Phone:972-661-2235
Mailing Address - Fax:
Practice Address - Street 1:5925 FOREST LN
Practice Address - Street 2:121
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2712
Practice Address - Country:US
Practice Address - Phone:972-661-2235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX488213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000P687Medicare ID - Type Unspecified
TXT16767Medicare UPIN