MEDICARE: ALICIA SARA YOYAKKI

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	363A00000X	Physician Assistant	PA19991	TX

General Provider Information

NPI Number	:	1689364234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA SARA YOYAKKI

Provider Business Mailing Address
First Line	:	950 E STATE HIGHWAY 114
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-5240
Country	:	US
Telephone Number	:	214-424-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	11920 ASTORIA BLVD STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6097
Country	:	US
Telephone Number	:	281-480-6264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	06/03/2026

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Directions to “ ALICIA SARA YOYAKKI ” Practice Location

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