Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP144126 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP144126 | TX |
NPI | 1417599135 |
---|---|
Provider Name | Kouame A Yao |
First Address | Houston, TX 77030-2604 |
Second Address | Houston, TX 77030-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2019 |
Last Update Date | 24/08/2021 |