Provider Demographics
NPI:1417939422
Name:HIROSE, YOKO (MD)
Entity Type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:HIROSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YOKO
Other - Middle Name:
Other - Last Name:HIROSE BUDEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10714 CLEAR COVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-8704
Mailing Address - Country:US
Mailing Address - Phone:713-444-1450
Mailing Address - Fax:
Practice Address - Street 1:10714 CLEAR COVE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-8704
Practice Address - Country:US
Practice Address - Phone:713-444-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4469207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE18084Medicare UPIN