Provider Demographics
NPI:1992045371
Name:H AND H YAMANI LLC
Entity Type:Organization
Organization Name:H AND H YAMANI LLC
Other - Org Name:PORTER FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:QMARUDDIN
Authorized Official - Last Name:YAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:832-760-8630
Mailing Address - Street 1:10990 WEST RD
Mailing Address - Street 2:APARTMENT NUMBER 601
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-8812
Mailing Address - Country:US
Mailing Address - Phone:832-760-8630
Mailing Address - Fax:
Practice Address - Street 1:23607 KELLY JOE SMITH ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-8405
Practice Address - Country:US
Practice Address - Phone:832-760-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22455122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty