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General NPI Number Information
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NPI Number | 1619399128
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Entity Type | Organization
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Legal Business Name | YOAKUM COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 1200 CARL RAMERT DR SUITE D
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City | YOAKUM
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State | TX
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Zip | 77995-4868
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Country | US
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Telephone | 361-293-7061
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Fax | 361-293-7892
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Provider Business Mailing Address
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Address Line | 1200 CARL RAMERT DR SUITE D
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City | YOAKUM
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State | TX
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Zip | 77995-4868
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Country | US
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Telephone | 361-293-7061
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Fax | 361-293-7892
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY MILLER
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Credential |
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Telephone | 361-293-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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