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Individual

DANIEL YASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-5650
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
94-10381
KS
2255A2300X
Athletic Trainer
Primary
BP10082423
TX

Other

Enumeration date
06/10/2020
Last updated
08/24/2023
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