Provider Demographics
NPI:1265495337
Name:YINGLING, DALE ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:ROBERT
Last Name:YINGLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20212 CHAMPION FOREST DRIVE
Mailing Address - Street 2:SUITE 700 PMB 170
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:812-671-1824
Mailing Address - Fax:830-323-0059
Practice Address - Street 1:8687 LOUETTA RD STE 275
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6677
Practice Address - Country:US
Practice Address - Phone:812-671-1824
Practice Address - Fax:830-323-0059
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004127A207VM0101X
TXQ1060207VM0101X
TN3445207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOH83566Medicare UPIN