Yezid Fernando Mora, M.D.
Individual provider Active NPI Internal Medicine Physician · Needville, TX
NPI 1366465122 · NPPES record last updated Jul 17, 2009
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2024.
Key facts
- NPI
- 1366465122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- L1944 (TX)
- Practice address
- 13737 Highway 36
Needville, TX 77461-7516 - Phone
- (979) 793-3940
- Fax
- (979) 793-3945
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1944 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Cure Primary Care Physicians PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1944 | TX | |
| Internal Medicine Physician | 207R00000X | L1944 | TX | Yes |
Addresses
Primary practice location
13737 Highway 36
Needville, TX 77461-7516
Mailing address
13737 Highway 36
Needville, TX 77461-7516
Phone (979) 793-3940
Other providers in Needville, TX
- Daniel Raymond Matthiesen
- Shana Mignery
- Kathleen Mires
- Kyla Celeste Mittanck
- Mora Cares, Inc
- Moving Mountains, LLC
- Cara L Mularski
- Needville Family Dentistry, PLLC
- Oakbend Medical Center
- Obence Perez
All providers in Needville, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.