Provider Demographics
NPI:1962582346
Name:NATAN YAKER MD PA
Entity type:Organization
Organization Name:NATAN YAKER MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-985-7474
Mailing Address - Street 1:4100 W 15TH ST
Mailing Address - Street 2:STE 106
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-985-7474
Mailing Address - Fax:972-964-1372
Practice Address - Street 1:4100 W 15TH ST
Practice Address - Street 2:STE 106
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-985-7474
Practice Address - Fax:972-964-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1319174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB27706Medicare UPIN