Healthcare Provider Details

I. General information

NPI: 1316809080
Provider Name (Legal Business Name): KOVO CLINICS TX, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 SACRAMENTO ST APT 6
SAN FRANCISCO CA
94115-2234
US

IV. Provider business mailing address

2504 SACRAMENTO ST APT 6
SAN FRANCISCO CA
94115-2234
US

V. Phone/Fax

Practice location:
  • Phone: 832-956-0609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: YURY YAKUBCHYK
Title or Position: PRESIDENT
Credential: MD
Phone: 832-956-0609