Provider Demographics
NPI:1093176034
Name:ALMEIDA, YAXAIRA
Entity Type:Individual
Prefix:
First Name:YAXAIRA
Middle Name:
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 UPTOWN BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3512
Mailing Address - Country:US
Mailing Address - Phone:939-639-8566
Mailing Address - Fax:469-834-9668
Practice Address - Street 1:613 UPTOWN BLVD STE 106
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3512
Practice Address - Country:US
Practice Address - Phone:939-639-8566
Practice Address - Fax:469-834-9668
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor