Provider Demographics
NPI:1245240712
Name:YANIV, ESTHER (MD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:YANIV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 BEE CAVES RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5463
Mailing Address - Country:US
Mailing Address - Phone:512-327-4263
Mailing Address - Fax:512-327-4265
Practice Address - Street 1:3345 BEE CAVES RD STE 101
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5463
Practice Address - Country:US
Practice Address - Phone:512-327-4263
Practice Address - Fax:512-327-4265
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2214208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282842801Medicaid
TX8CV480OtherBCBS
TX282842802Medicaid
TXTXB132145Medicare UPIN
TX282842801Medicaid
TX282842802Medicaid