Provider Demographics
NPI:1497374847
Name:MOUAWAD, YARA (MD)
Entity Type:Individual
Prefix:
First Name:YARA
Middle Name:
Last Name:MOUAWAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN
Mailing Address - Street 2:MSB 5.134
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-500-6881
Mailing Address - Fax:713-500-6882
Practice Address - Street 1:6431 FANNIN
Practice Address - Street 2:MSB 5.134
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-6881
Practice Address - Fax:713-500-6882
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program