Craig Yetter, DO, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2916 Issued in TX

Legal business name

CRAIG YETTER, DO, P.A.

Practice address

2203 W Lampasas St
Suite 111
Ennis, TX 75119-5644

Phone

(972) 875-2424

Fax

(972) 875-1244

NPI assigned

Jul 28, 2006

Last updated

Jul 14, 2009By 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

Craig S. Yetter, DO

Title

Member

Phone

(972) 875-2424

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1295749190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 111",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-2424",
            "fax_number": "972-875-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 111",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-2424",
            "fax_number": "972-875-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG YETTER, DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "YETTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-875-2424",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Collins, LCSW
• Dana Renee Collins, LPC
• Matthew Garrett Cooper, CRNA
• Corsicana Homecare LLC Dba Visiting Angels
• Coryell County Memorial Hospital Authority (Bluebonnet Rehab at Ennis)
• Jill Lindsey Crook
• CSD Firm LLC (LSR Care & Connections)
• Arianne Cunanan
• Glenda Cunningham
• CVS Pharmacy Inc (CVS Pharmacy 07732)

• Family Medicine Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.