Provider Demographics
NPI:1093399859
Name:FERNANDEZ ESTRADA, YENIER (SONOGRAPHER)
Entity Type:Individual
Prefix:
First Name:YENIER
Middle Name:
Last Name:FERNANDEZ ESTRADA
Suffix:
Gender:M
Credentials:SONOGRAPHER
Other - Prefix:
Other - First Name:YENIER
Other - Middle Name:
Other - Last Name:FERNANDEZ ESTRADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2825 WILCREST DR STE 257
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3526
Mailing Address - Country:US
Mailing Address - Phone:281-867-6066
Mailing Address - Fax:
Practice Address - Street 1:2825 WILCREST DR STE 257
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3526
Practice Address - Country:US
Practice Address - Phone:281-867-6066
Practice Address - Fax:281-867-6067
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-07
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2412312471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography