Provider Demographics
NPI:1619383080
Name:PHILIP H YEILDING PC
Entity Type:Organization
Organization Name:PHILIP H YEILDING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:YEILDING
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:903-815-4007
Mailing Address - Street 1:600 N HIGHLAND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-5631
Mailing Address - Country:US
Mailing Address - Phone:903-815-4007
Mailing Address - Fax:
Practice Address - Street 1:600 N HIGHLAND AVE STE 105
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-5631
Practice Address - Country:US
Practice Address - Phone:903-815-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00748363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty