Provider Demographics
NPI:1376309971
Name:YALETON INC
Entity type:Organization
Organization Name:YALETON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:ESTRADA CIMADEVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-731-7496
Mailing Address - Street 1:21650 HIGHLAND KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5387
Mailing Address - Country:US
Mailing Address - Phone:832-731-7496
Mailing Address - Fax:
Practice Address - Street 1:6711 RAMPART ST STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4265
Practice Address - Country:US
Practice Address - Phone:832-731-7496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty