| Yaleton Inc | |
|
6711 Rampart St Ste 108 Houston TX 77081-4265 | |
| (832) 731-7496 | |
| Not Available |
| Full Name | Yaleton Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6711 Rampart St Ste 108, Houston, Texas |
| Authorized Official Name and Position | Antonio S Estrada Cimadevila (GENERAL MANAGER) |
| Authorized Official Contact | 8327317496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaleton Inc 21650 Highland Knolls Dr Katy TX 77450-5387 Ph: (832) 731-7496 | Yaleton Inc 6711 Rampart St Ste 108 Houston TX 77081-4265 Ph: (832) 731-7496 |
| NPI Number | 1376309971 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 0042748717 |
|---|---|
| Medicare Enrollment ID | O20250108002283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376309971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yalennys Liens Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295334902 PECOS PAC ID: 3375071046 Enrollment ID: I20250108002415 |
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