Provider Demographics
NPI:1740454297
Name:YOCUM, DENISE N (PA)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:N
Last Name:YOCUM
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1250 E CLIFF DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4850
Mailing Address - Country:US
Mailing Address - Phone:915-577-7951
Mailing Address - Fax:915-577-7952
Practice Address - Street 1:1250 E CLIFF DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4850
Practice Address - Country:US
Practice Address - Phone:915-577-7951
Practice Address - Fax:915-577-7952
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2012-12-20
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Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant