Healthcare Provider Details

I. General information

NPI: 1255813986
Provider Name (Legal Business Name): LANA YAMBA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W SESAME DR
HARLINGEN TX
78550-7930
US

IV. Provider business mailing address

5423 S MCCOLL RD
EDINBURG TX
78539-9183
US

V. Phone/Fax

Practice location:
  • Phone: 956-423-0130
  • Fax: 956-444-3298
Mailing address:
  • Phone: 956-362-3548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberU5268
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberU5268
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: