Healthcare Provider Details

I. General information

NPI: 1184196339
Provider Name (Legal Business Name): YASMIL LINARES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YASMIL LINARES ROGERS

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6210 FAIRMONT PKWY
PASADENA TX
77505-4027
US

IV. Provider business mailing address

1938 ACACIAWOOD WAY
HOUSTON TX
77051-0006
US

V. Phone/Fax

Practice location:
  • Phone: 832-775-0165
  • Fax:
Mailing address:
  • Phone: 832-526-5881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP139655
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: