Yvette Clifford, MD.,PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6380 Issued in TX

Legal business name

YVETTE CLIFFORD, MD.,PA

Practice address

2008 Childress Dr
Forney, TX 75126-5179

Phone

(469) 563-7333

Fax

(214) 481-7238

NPI assigned

Sep 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvette Clifford, MD

Title

President

Phone

(469) 563-7333

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1154879435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CHILDRESS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265179",
            "telephone_number": "469-563-7333",
            "fax_number": "214-481-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 CHILDRESS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265179",
            "telephone_number": "469-563-7333",
            "fax_number": "214-481-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE CLIFFORD, MD.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-563-7333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J6380",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Forney, TX
• Providers in Forney, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.