Individual
DR. MICHAEL DAVID YAAKOVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT183674
PA
208600000X
Surgery Physician
Primary
N6111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283249503
—
TX
05
—
283249504
—
TX
01
—
8EJ390
BCBS
TX
01
—
8GE036
BCBS
TX
01
—
P01481733
RR MEDICARE
TX
Enumeration date
06/16/2009
Last updated
11/23/2016
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