Chris G. Yiantsou M.D., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E4781 Issued in TX

Legal business name

CHRIS G. YIANTSOU M.D., P.A.

Practice address

2600 Tibbets Dr
Bedford, TX 76022-6998

Phone

(817) 283-5353

Fax

(817) 283-5355

NPI assigned

Jul 23, 2010

Last updated

Aug 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris Gus Yiantsou, M.D., P.A.NPI 1376654988

Title

President

Phone

(817) 283-5353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris G Yiantsou, MD

  • Gastroenterology Physician
  • Bedford, TX
  • NPI 1376654988
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1215240874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226998",
            "telephone_number": "817-283-5353",
            "fax_number": "817-283-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226998",
            "telephone_number": "817-283-5353",
            "fax_number": "817-283-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS G. YIANTSOU M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "YIANTSOU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-283-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E4781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Cianella

• Primary Care Clinic/Center in Bedford, TX
• Providers in Bedford, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.