Individual provider · Type 1 NPI

Micah Van Yperen, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1053161364 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75235-5202

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA17880 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1053161364

Micah Van Yperen, PA-C's National Provider Identifier is 1053161364, issued on Mar 27, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jul 7, 2026.