Provider Demographics
NPI:1871161018
Name:SURLES, CLOATEE YVONNE (APRN)
Entity type:Individual
Prefix:
First Name:CLOATEE
Middle Name:YVONNE
Last Name:SURLES
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 1:8209 ROUGHRIDER DR STE 100E
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2473
Mailing Address - Country:US
Mailing Address - Phone:210-843-0115
Mailing Address - Fax:
Practice Address - Street 1:8209 ROUGHRIDER DR STE 100E
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-2473
Practice Address - Country:US
Practice Address - Phone:210-843-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX703597163WC0400X, 163WD1100X, 163WH0500X
TX1154122363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis