MEDICARE: YOKO HIROSE 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	207L00000X	Anesthesiology Physician	G4469	TX

General Provider Information

NPI Number	:	1417939422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOKO HIROSE MD

Provider Business Mailing Address
First Line	:	10714 CLEAR COVE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-8704
Country	:	US
Telephone Number	:	713-444-1450
Fax Number	:

Provider Business Practice Location Address
First Line	:	10714 CLEAR COVE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-8704
Country	:	US
Telephone Number	:	713-444-1450
Fax Number	:

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/04/2019

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