| Yosvenma Llc | |
|
4520 W 34th St Ste A Houston TX 77092-5938 | |
| (713) 688-1762 | |
| (713) 688-1782 |
| Full Name | Yosvenma Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4520 W 34th St Ste A, Houston, Texas |
| Authorized Official Name and Position | Enma L Cordero Rodriguez (OWNER) |
| Authorized Official Contact | 7132614753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yosvenma Llc 4520 W 34th St Ste A Houston TX 77092-5938 Ph: (713) 688-1762 | Yosvenma Llc 4520 W 34th St Ste A Houston TX 77092-5938 Ph: (713) 688-1762 |
| NPI Number | 1285010702 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 8921386285 |
|---|---|
| Medicare Enrollment ID | O20161021000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285010702 | NPI | - | NPPES |
| Provider Name | Joseph A Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215933650 PECOS PAC ID: 0547348617 Enrollment ID: I20080415000796 |
| Provider Name | Inemesit Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353703 PECOS PAC ID: 7416267349 Enrollment ID: I20151105001057 |
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