Provider Demographics
NPI:1568790897
Name:AUBERT, SANDRA YVETTE
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:YVETTE
Last Name:AUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:YVETTE
Other - Last Name:MOBLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6360 SAN FELIPE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2710
Mailing Address - Country:US
Mailing Address - Phone:713-278-2616
Mailing Address - Fax:713-278-2681
Practice Address - Street 1:6360 SAN FELIPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2710
Practice Address - Country:US
Practice Address - Phone:713-278-2616
Practice Address - Fax:713-278-2681
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist