=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609713106
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | Y C HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7710 CHERRY PARK DR STE 370
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77095-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-367-5358
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7710 CHERRY PARK DR STE 370
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77095-2700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-367-5358
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | YANIERT SABLON PANTOJA
-----------------------------------------------------
Credential | FNP-C
-----------------------------------------------------
Telephone | 713-367-5358
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------