Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | F8260 | TX |
NPI | 1376566331 |
---|---|
Provider Name | Dr. Yury J Nosaville |
First Address | Houston, TX 77074-2925 |
Second Address | Houston, TX 77074-2925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 18/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134180206 | (05) | TX |