Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | H3219 | TX |
N | 207VG0400X | Gynecologist | H3219 | TX |
NPI | 1982688081 |
---|---|
Provider Name | Dr. Raul Yordan-Jovet |
First Address | Fort Sam Houston, TX 78234-4501 |
Second Address | Fort Sam Houston, TX 78234-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 31/12/2018 |