Provider Demographics
NPI:1063666808
Name:YUSUKE YAHAGI, M.D., P.A.
Entity Type:Organization
Organization Name:YUSUKE YAHAGI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YUSUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAHAGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-582-5650
Mailing Address - Street 1:2700 CITIZENS PLZ
Mailing Address - Street 2:SUITE 403
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5754
Mailing Address - Country:US
Mailing Address - Phone:361-582-5650
Mailing Address - Fax:361-582-5649
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:SUITE 403
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-582-5650
Practice Address - Fax:361-582-5649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2210208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty