Basic Information
| Provider Information | |||||||||
| NPI: | 1861572281 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | QUADRI | ||||||||
| FirstName: | YASMEEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1615 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770098525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132222272 | ||||||||
| FaxNumber: | 7132367186 | ||||||||
| Practice Location | |||||||||
| Address1: | 1615 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770098525 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132222272 | ||||||||
| FaxNumber: | 7132367186 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 08/31/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | L0522 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 142804701 | 05 | TX | MEDICAID |