Provider Demographics
NPI:1811575772
Name:CAVAZOS, YESELI MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:YESELI
Middle Name:MARIE
Last Name:CAVAZOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 SMOKEY WOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-2427
Mailing Address - Country:US
Mailing Address - Phone:713-884-7845
Mailing Address - Fax:
Practice Address - Street 1:5367 W RICHEY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3323
Practice Address - Country:US
Practice Address - Phone:281-895-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily