Provider Demographics
NPI:1023041076
Name:WESTFORD, YVETTE FAYE (MD)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:FAYE
Last Name:WESTFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4550
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903-4550
Mailing Address - Country:US
Mailing Address - Phone:361-894-6314
Mailing Address - Fax:361-894-6319
Practice Address - Street 1:12141 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2408
Practice Address - Country:US
Practice Address - Phone:281-558-3444
Practice Address - Fax:855-527-5516
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2197207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175956501Medicaid
TX175956501Medicaid
TXI38921Medicare UPIN