Provider Demographics
NPI:1023271202
Name:YEARGAIN, JOSEPH L (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:YEARGAIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 GASTON AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1500
Mailing Address - Country:US
Mailing Address - Phone:214-824-3851
Mailing Address - Fax:214-824-3852
Practice Address - Street 1:3801 GASTON AVE STE 330
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1500
Practice Address - Country:US
Practice Address - Phone:214-824-3851
Practice Address - Fax:214-824-3852
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1958213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX900170193OtherEIN