Provider Demographics
NPI:1235497413
Name:SADIA YASSER MD PA
Entity Type:Organization
Organization Name:SADIA YASSER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CMOM CMIS CMC
Authorized Official - Phone:281-398-9711
Mailing Address - Street 1:777 SOUTH FRY ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2297
Mailing Address - Country:US
Mailing Address - Phone:281-398-9711
Mailing Address - Fax:281-398-9641
Practice Address - Street 1:777 SOUTH FRY ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2297
Practice Address - Country:US
Practice Address - Phone:281-398-9711
Practice Address - Fax:281-398-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN33982084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3276516OtherUNITED HEALTHCARE
TXN3398OtherTX MEDICAL LICENSE
TX9160516OtherAETNA INSURANCE
TX8CL379OtherBCBS OF TX
TX6488224OtherCIGNA INSURANCE
TXN3398OtherTX MEDICAL LICENSE