| Mr Hossein Yazdani, MD | |
| 
					105 S Kansas Street, Anahuac, TX 77514-1703  | |
| (409) 267-3118 | |
| (409) 267-3740 | 
| Full Name | Mr Hossein Yazdani | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 105 S Kansas Street, Anahuac, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043201635 | NPI | - | NPPES | 
| 127093606 | Medicaid | TX | |
| 8784NO | Other | TX | MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | K1957 (Texas) | Primary | 
| 208D00000X | General Practice | K1957 (Texas) | Secondary | 
| 207P00000X | Emergency Medicine | K1957 (Texas) | Secondary | 
| Entity Name | Concord Medical Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531  | 
| Entity Name | Ess Of South Texas Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248  | 
| Entity Name | Champion Anesthesia Consultants Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649676024 PECOS PAC ID: 7113231358 Enrollment ID: O20150803000277  | 
| Entity Name | United Care Physicians Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134630411 PECOS PAC ID: 0941563993 Enrollment ID: O20180404002349  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Hossein Yazdani, MD Po Box C, Anahuac, TX 77514-1703 Ph: (409) 267-3118  | Mr Hossein Yazdani, MD 105 S Kansas Street, Anahuac, TX 77514-1703 Ph: (409) 267-3118  | 
John L Redman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 S. Ross Sterling, Anahuac, TX 77514 Phone: 409-267-3143 Fax: 281-319-8520  |