Provider Demographics
NPI:1942301619
Name:AUDE, YAMIL WADY (MD)
Entity Type:Individual
Prefix:DR
First Name:YAMIL
Middle Name:WADY
Last Name:AUDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-362-8810
Mailing Address - Fax:956-362-8819
Practice Address - Street 1:4316 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2477
Practice Address - Country:US
Practice Address - Phone:956-362-8810
Practice Address - Fax:956-362-8819
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3875207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153741702Medicaid
TXM3875OtherTEXAS LICENSE NUMBER
TXM3875OtherTEXAS LICENSE NUMBER