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NPI Code Detail

MEDICARE: YOSVENMA LLC

MEDICARE: YOSVENMA LLC
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
1261QC1500XCommunity Health Clinic/Center
2207Q00000XFamily Medicine PhysicianH0649TX
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
4207R00000XInternal Medicine Physician
5261Q00000XClinic/Center
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1285010702
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOSVENMA LLC
Provider Business Mailing Address
First Line : 10131 HAMMERLY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5014
Country : US
Telephone Number : 713-769-0096
Fax Number : 713-769-0094
Provider Business Practice Location Address
First Line : 10131 HAMMERLY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5014
Country : US
Telephone Number : 713-769-0096
Fax Number : 713-769-0100
Authorized Official
Title or Position : OWNER
Name : ENMA LAIDA CORDERO-RODRIGUEZ
Credential :
Telephone Number : 713-769-0096
Provider Enumeration Date : 08/06/2015
Last Update Date : 11/19/2025

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Directions to “YOSVENMA LLC ” Practice Location

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