Healthcare Provider Details
I. General information
NPI: 1295298511
Provider Name (Legal Business Name): YADIER OSCAR BRITO-CUAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2019
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6431 FANNIN STREET SUITE MSB 1.134
HOUSTON TX
77030-5389
US
IV. Provider business mailing address
11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US
V. Phone/Fax
- Phone: 713-500-6500
- Fax: 713-500-6530
- Phone: 713-442-0000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | U8693 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | U8693 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: