Individual
EDUARDO ALONSO YEPEZ GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271605
NY
207R00000X
Internal Medicine Physician
P4626
TX
207RI0200X
Infectious Disease Physician
Primary
P4626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401418501
—
TX
01
—
401418502
MEDICAID-CSHCN
TX
01
—
8LL399
BCBS
TX
Enumeration date
07/21/2008
Last updated
10/16/2019
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