Provider Demographics
NPI:1336368414
Name:YVONNE D. JOBE
Entity Type:Organization
Organization Name:YVONNE D. JOBE
Other - Org Name:DAYSTAR PROFESSIONAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-265-2340
Mailing Address - Street 1:11207 ASHFORD PT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6151
Mailing Address - Country:US
Mailing Address - Phone:281-265-2340
Mailing Address - Fax:888-771-7959
Practice Address - Street 1:11207 ASHFORD PT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6151
Practice Address - Country:US
Practice Address - Phone:281-265-2340
Practice Address - Fax:888-771-7959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010387251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1245478866OtherNPI
TX187897701Medicaid
TX679621Medicare UPIN
TX187897701Medicaid