Provider Demographics
NPI:1316652019
Name:DABI, YODIT M (APRN)
Entity type:Individual
Prefix:
First Name:YODIT
Middle Name:M
Last Name:DABI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3759 HERITAGE COLONY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4054
Mailing Address - Country:US
Mailing Address - Phone:832-274-6198
Mailing Address - Fax:
Practice Address - Street 1:202 INDUSTRIAL BLVD STE 503
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2702
Practice Address - Country:US
Practice Address - Phone:346-998-9992
Practice Address - Fax:832-376-7548
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily