MEDICARE: DR. YVETTE BATISTE MD

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	207Q00000X	Family Medicine Physician	J8453	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VOO97766	OTHER	TX	DPS

General Provider Information

NPI Number	:	1326126285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVETTE BATISTE MD

Provider Business Mailing Address
First Line	:	9816 MEMORIAL BLVD
Second Line	:	SUITE 102
City	:	HUMBLE
State	:	TX
Zip	:	77338-4255
Country	:	US
Telephone Number	:	281-548-7822
Fax Number	:	281-548-7833

Provider Business Practice Location Address
First Line	:	9816 MEMORIAL BLVD
Second Line	:	SUITE 102
City	:	HUMBLE
State	:	TX
Zip	:	77338-4255
Country	:	US
Telephone Number	:	281-548-7822
Fax Number	:	281-548-7833

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/07/2023

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