Provider Demographics
NPI:1902779044
Name:ORTEGA HERNANDEZ, YAMILET
Entity type:Individual
Prefix:
First Name:YAMILET
Middle Name:
Last Name:ORTEGA HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19214 WOODGLEN DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3930
Mailing Address - Country:US
Mailing Address - Phone:832-220-7438
Mailing Address - Fax:
Practice Address - Street 1:19214 WOODGLEN DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3930
Practice Address - Country:US
Practice Address - Phone:832-220-7438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1190650163WN1003X, 163WP2201X, 163W00000X, 163WH0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy