Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 19593 | TX |
Y | 1223G0001X | General Practice | 19593 | TX |
Y | 213EG0000X | General Practice | 19593 | TX |
NPI | 1013006345 |
---|---|
Provider Name | Dr. David T Yu |
First Address | Houston, TX 77081-5512 |
Second Address | Houston, TX 77081-5512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009591104 | (05) | TX |