Provider Demographics
NPI:1821880568
Name:TELLES, SULMI YANIRA
Entity type:Individual
Prefix:MS
First Name:SULMI
Middle Name:YANIRA
Last Name:TELLES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SULMI
Other - Middle Name:YANIRA
Other - Last Name:TELLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11918 STANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2726
Mailing Address - Country:US
Mailing Address - Phone:832-436-3415
Mailing Address - Fax:281-343-3564
Practice Address - Street 1:11918 STANWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2726
Practice Address - Country:US
Practice Address - Phone:832-436-3415
Practice Address - Fax:281-343-3564
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator