Healthcare Provider Details

I. General information

NPI: 1245240712
Provider Name (Legal Business Name): ESTHER YANIV M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 BEE CAVES RD STE 101
WEST LAKE HILLS TX
78746-5463
US

IV. Provider business mailing address

3345 BEE CAVES RD STE 101
WEST LAKE HILLS TX
78746-5463
US

V. Phone/Fax

Practice location:
  • Phone: 512-327-4263
  • Fax: 512-327-4265
Mailing address:
  • Phone: 512-327-4263
  • Fax: 512-327-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberM2214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: