1801531512 NPI number — CONCIERGE CARE & CONSULTING PLLC

Table of content: LAURA MELANY YASSA PA (NPI 1689245904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801531512 NPI number — CONCIERGE CARE & CONSULTING PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONCIERGE CARE & CONSULTING PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801531512
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14317 POTRANCO RD STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78253-7126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-900-5495
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13750 SAN PEDRO AVE STE 140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78232-4358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-900-5495
Provider Business Practice Location Address Fax Number:
949-399-6008
Provider Enumeration Date:
04/28/2022

Additional Information

Authorized Official

Authorized Official Last Name:
GOULD
Authorized Official First Name:
ANITA
Authorized Official Middle Name:
E
Authorized Official Title or Position:
FNP
Authorized Official Telephone Number:
210-900-5495

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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