1477523298 NPI number — GARY N YEE MD

Table of content: GARY N YEE MD (NPI 1477523298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477523298 NPI number — GARY N YEE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YEE
Provider First Name:
GARY
Provider Middle Name:
N
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477523298
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15611 OYSTER COVE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77478-3364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-367-2844
Provider Business Mailing Address Fax Number:
281-968-7504

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15611 OYSTER COVE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-3364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-367-2844
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  E9040 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8Z1821 . This is a "BC/BS PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1477523298 . This is a "TRICARE SOUTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 110521506 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110521507 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".