Healthcare Provider Details

I. General information

NPI: 1093635609
Provider Name (Legal Business Name): YANARA FROMETA PEREZ RN,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 COLLEGE ST STE 245
BEAUMONT TX
77701-2369
US

IV. Provider business mailing address

13565 LEANING OAKS DR
BEAUMONT TX
77713-9486
US

V. Phone/Fax

Practice location:
  • Phone: 409-554-0533
  • Fax:
Mailing address:
  • Phone: 409-225-7549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1150779
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: