Healthcare Provider Details

I. General information

NPI: 1033031182
Provider Name (Legal Business Name): DESIREE YEM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6651 MAIN ST STE 1920
HOUSTON TX
77030-2351
US

IV. Provider business mailing address

6651 MAIN ST STE 1920
HOUSTON TX
77030-2351
US

V. Phone/Fax

Practice location:
  • Phone: 832-824-2728
  • Fax: 832-825-2017
Mailing address:
  • Phone: 832-824-2728
  • Fax: 832-825-2017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number879957
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: