MEDICARE: MS. YAMILA CASAS LAY FNP

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	363LF0000X	Family Nurse Practitioner	1099999	TX

General Provider Information

NPI Number	:	1306556006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YAMILA CASAS LAY FNP

Provider Business Mailing Address
First Line	:	7307 TETON CREEK TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3526
Country	:	US
Telephone Number	:	832-687-7325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 S WAYSIDE DR STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-2807
Country	:	US
Telephone Number	:	281-707-7365
Fax Number	:

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

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	10/18/2023

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