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NPI Code Detail

MEDICARE: YENISLEIDYS MORALES BETANCOURT

MEDICARE: YENISLEIDYS MORALES BETANCOURT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1060423TX

General Provider Information

NPI Number : 1043163108
Entity Type Code : Individual
Provider Name (Legal Business Name) : YENISLEIDYS MORALES BETANCOURT
Provider Business Mailing Address
First Line : 1900 BLALOCK RD STE M
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5446
Country : US
Telephone Number : 832-831-4883
Fax Number :
Provider Business Practice Location Address
First Line : 1900 BLALOCK RD STE M
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5446
Country : US
Telephone Number : 832-831-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 04/24/2026

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Directions to “ YENISLEIDYS MORALES BETANCOURT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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