Provider Demographics
NPI:1487781191
Name:AURORA V. YLLANA-SHEPPERD, MD, PA
Entity type:Organization
Organization Name:AURORA V. YLLANA-SHEPPERD, MD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:VILLALUZ
Authorized Official - Last Name:YLLANA-SHEPPERD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-528-4440
Mailing Address - Street 1:2202 W ALABAMA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2404
Mailing Address - Country:US
Mailing Address - Phone:713-528-4440
Mailing Address - Fax:713-528-4447
Practice Address - Street 1:2202 W ALABAMA ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2404
Practice Address - Country:US
Practice Address - Phone:713-528-4440
Practice Address - Fax:713-528-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI23996Medicare UPIN
TX00981XMedicare ID - Type Unspecified