Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | N1235 | TX |
NPI | 1184770380 |
---|---|
Provider Name | Dr. Jason T Yustein |
First Address | Houston, TX 77025-1715 |
Second Address | Houston, TX 77025-1715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 16/08/2011 |