MEDICARE: AURORA V. YLLANA-SHEPPERD, MD, PA

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
1	207Q00000X	Family Medicine Physician	L8237	TX

General Provider Information

NPI Number	:	1487781191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA V. YLLANA-SHEPPERD, MD, PA

Provider Business Mailing Address
First Line	:	2202 W ALABAMA ST
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77098-2404
Country	:	US
Telephone Number	:	713-528-4440
Fax Number	:	713-528-4447

Provider Business Practice Location Address
First Line	:	2202 W ALABAMA ST
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77098-2404
Country	:	US
Telephone Number	:	713-528-4440
Fax Number	:	713-528-4447

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AURORA VILLALUZ YLLANA-SHEPPERD
Credential	:	MD
Telephone Number	:	713-528-4440

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/22/2020

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