Healthcare Provider Details

I. General information

NPI: 1417417585
Provider Name (Legal Business Name): YASMINE KHAIRANDISH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 WURZBACH RD STE 305
SAN ANTONIO TX
78229-3374
US

IV. Provider business mailing address

8435 WURZBACH RD STE 305
SAN ANTONIO TX
78229-3374
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-9800
  • Fax: 210-450-4935
Mailing address:
  • Phone: 210-450-9800
  • Fax: 210-450-4935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberT6280
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberT6280
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT6280
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: