Provider Demographics
NPI:1487083457
Name:DIGGS, YNEDRA
Entity type:Individual
Prefix:
First Name:YNEDRA
Middle Name:
Last Name:DIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12430 CHADWELL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3402
Mailing Address - Country:US
Mailing Address - Phone:832-890-9253
Mailing Address - Fax:832-582-6219
Practice Address - Street 1:12430 CHADWELL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3402
Practice Address - Country:US
Practice Address - Phone:832-890-9253
Practice Address - Fax:832-582-6219
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-10
Last Update Date:2013-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care