Provider Demographics
NPI:1861491011
Name:YABAR, CESAR F (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:F
Last Name:YABAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 S FRAZIER ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-5059
Mailing Address - Country:US
Mailing Address - Phone:936-441-8864
Mailing Address - Fax:936-539-8777
Practice Address - Street 1:610 S FRAZIER ST
Practice Address - Street 2:SUITE A
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-5059
Practice Address - Country:US
Practice Address - Phone:936-441-8864
Practice Address - Fax:936-539-8777
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1142207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039790306Medicaid
TX039790306Medicaid
TX8A4526Medicare ID - Type Unspecified