Provider Demographics
NPI:1295113835
Name:YANCEY, ZAINETH MARIA (MD)
Entity type:Individual
Prefix:
First Name:ZAINETH
Middle Name:MARIA
Last Name:YANCEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZAINETH
Other - Middle Name:MARIA
Other - Last Name:NUNES MONTIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6815 HARRISBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4625
Mailing Address - Country:US
Mailing Address - Phone:713-715-4460
Mailing Address - Fax:
Practice Address - Street 1:6812 HARRISBURG BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4626
Practice Address - Country:US
Practice Address - Phone:713-715-4460
Practice Address - Fax:713-715-4465
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR0772208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program