MEDICARE: YENIER FERNANDEZ ESTRADA SONOGRAPHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471S1302X	Sonography Radiologic Technologist	241231	TX

General Provider Information

NPI Number	:	1093399859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENIER FERNANDEZ ESTRADA SONOGRAPHER

Provider Business Mailing Address
First Line	:	2825 WILCREST DR STE 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3526
Country	:	US
Telephone Number	:	281-867-6066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 WILCREST DR STE 257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3526
Country	:	US
Telephone Number	:	281-867-6066
Fax Number	:	281-867-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2021
Last Update Date	:	03/31/2023

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