Individual
JUSTIN YANOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 794-7723
Mailing address
119 EMBER BRANCH DR, MISSOURI CITY, TX 77459-1110
(832) 452-0151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N9012
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
N9012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285364001
—
TX
05
—
285364002
—
TX
01
—
8CW471
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/18/2009
Last updated
08/13/2018
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