Provider Demographics
NPI:1023066339
Name:MONIB, YASMINE S (MD)
Entity type:Individual
Prefix:DR
First Name:YASMINE
Middle Name:S
Last Name:MONIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23530 KINGSLAND BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7466
Mailing Address - Country:US
Mailing Address - Phone:832-844-1470
Mailing Address - Fax:832-201-5322
Practice Address - Street 1:23530 KINGSLAND BLVD STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7466
Practice Address - Country:US
Practice Address - Phone:832-844-1470
Practice Address - Fax:832-201-5322
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0068077208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD019320800Medicaid
TX327121504Medicaid