Most Relevant Information
Provider Data
| NPI Number: | 1003370404 |
| Provider Name: | TERRI R YINGLING LSA |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | SA00847 |
Most Important Dates
| Enumeration Date: | 01/30/2019 |
| Last Updated: | 03/12/2021 |
Provider Practice Location
4050 MCEWEN RD
DALLAS
TX
752445421
Practice Location Phone/Fax
| Phone: | 8174542584 |
| Fax: | 9729865304 |
Provider Mailing Location
PO BOX 93150
SOUTHLAKE
TX
760921150
Provider Mailing Phone/Fax
| Phone: | 8174542584 |
| Fax: | 2147640880 |