Provider Demographics
NPI:1093414161
Name:REYES NEGRIN, YINDRI (NP)
Entity type:Individual
Prefix:
First Name:YINDRI
Middle Name:
Last Name:REYES NEGRIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BELLERIVE DR APT 2510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3043
Mailing Address - Country:US
Mailing Address - Phone:832-988-1161
Mailing Address - Fax:
Practice Address - Street 1:12240 MURPHY RD STE A
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2411
Practice Address - Country:US
Practice Address - Phone:832-988-1161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2025-08-15
Deactivation Date:2025-07-28
Deactivation Code:
Reactivation Date:2025-08-15
Provider Licenses
StateLicense IDTaxonomies
TX1073787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty