Provider Demographics
NPI:1710948096
Name:YALE, REBECCA J (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:YALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W CAMPBELL RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3465
Mailing Address - Country:US
Mailing Address - Phone:972-498-8250
Mailing Address - Fax:
Practice Address - Street 1:403 W CAMPBELL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3465
Practice Address - Country:US
Practice Address - Phone:972-498-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9024207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09MDOtherBC/BS GROUP NUMBER
TX176601603Medicaid
TX176598401Medicaid
TX8R3850OtherBC/BS INDIVIDUAL NUMBER
TX7782704OtherAETNA
TX176601601Medicaid
TX176601602Medicaid
TX176601604Medicaid
TX2114016OtherUNITED HEALTHCARE
TX8BJ290OtherBCBS
TX8R3850OtherBC/BS INDIVIDUAL NUMBER
TX8BJ290OtherBCBS
TX176601601Medicaid