Provider Demographics
NPI:1285448043
Name:YHARTE, RYAN ALANIZ
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ALANIZ
Last Name:YHARTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14518 GOLDEN CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1696
Mailing Address - Country:US
Mailing Address - Phone:281-840-3683
Mailing Address - Fax:
Practice Address - Street 1:14518 GOLDEN CYPRESS LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1696
Practice Address - Country:US
Practice Address - Phone:281-840-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program