1821385857 NPI number — MISS ROSEMARY A YOVONOO PHARMD

Table of content: KASSIE NICOLE KINDER APRN (NPI 1669280459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821385857 NPI number — MISS ROSEMARY A YOVONOO PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YOVONOO
Provider First Name:
ROSEMARY
Provider Middle Name:
A
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

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:
1821385857
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3100 GULF FWY S
Provider Second Line Business Mailing Address:
T2320
Provider Business Mailing Address City Name:
LEAGUE CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77539
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-534-5421
Provider Business Mailing Address Fax Number:
281-534-5431

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1801 GULF FWY
Provider Second Line Business Practice Location Address:
T2320
Provider Business Practice Location Address City Name:
DICKINSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77539-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-534-5421
Provider Business Practice Location Address Fax Number:
281-534-5431
Provider Enumeration Date:
06/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  43630 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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