Provider Demographics
NPI:1215408851
Name:YVETTE F WESTFORD MD PA
Entity Type:Organization
Organization Name:YVETTE F WESTFORD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:WESTFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-935-9625
Mailing Address - Street 1:1111 HIGHWAY 6 STE 135
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4914
Mailing Address - Country:US
Mailing Address - Phone:281-201-2606
Mailing Address - Fax:281-619-7098
Practice Address - Street 1:6333 BARKER CYPRESS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1625
Practice Address - Country:US
Practice Address - Phone:281-859-7737
Practice Address - Fax:281-619-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175956501Medicaid