Provider Demographics
NPI:1255837290
Name:YNALVEZ, LESLIE AMMABEL (MD)
Entity type:Individual
Prefix:
First Name:LESLIE AMMABEL
Middle Name:
Last Name:YNALVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LESLIE AMMABEL
Other - Middle Name:
Other - Last Name:YNALVEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:713-512-2242
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXV3466207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program