Healthcare Provider Details

I. General information

NPI: 1437424611
Provider Name (Legal Business Name): YOLANDA SUAREZ SCOTT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20403 FM 529 RD STE 200
CYPRESS TX
77433-5379
US

IV. Provider business mailing address

222 LAS COLINAS BLVD W SUITE 2000
IRVING TX
75039-5421
US

V. Phone/Fax

Practice location:
  • Phone: 281-656-4041
  • Fax: 281-861-0343
Mailing address:
  • Phone: 972-957-3000
  • Fax: 972-236-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ4304
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: