Provider Demographics
NPI:1700397882
Name:Y.H. ANNA, PLLC
Entity Type:Organization
Organization Name:Y.H. ANNA, PLLC
Other - Org Name:YOUR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:WINDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-587-6080
Mailing Address - Street 1:2100 W. WHITE ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409
Mailing Address - Country:US
Mailing Address - Phone:972-587-6080
Mailing Address - Fax:
Practice Address - Street 1:2100 W WHITE ST STE 150
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-5159
Practice Address - Country:US
Practice Address - Phone:972-587-6080
Practice Address - Fax:972-872-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
TXAP121869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty