Provider Demographics
NPI:1912454471
Name:DR YERAS PLLC
Entity Type:Organization
Organization Name:DR YERAS PLLC
Other - Org Name:QUALITY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:YERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-775-0200
Mailing Address - Street 1:4764 DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3525
Mailing Address - Country:US
Mailing Address - Phone:248-635-7419
Mailing Address - Fax:
Practice Address - Street 1:4764 DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-3525
Practice Address - Country:US
Practice Address - Phone:248-775-0200
Practice Address - Fax:248-775-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care