Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis Fernando Ycaza Jr., DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083554802

Luis Fernando Ycaza Jr., DO is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

325 N State Of Franklin Rd
Johnson City, TN 37604-6056
Phone: (423) 439-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083554802
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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