Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | S3479 | TX |
NPI | 1013270776 |
---|---|
Provider Name | Dr. Jessie Zexi Yu I |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
404309301 | (05) | TX |
404309302 | MEDICAID-CSHCN (01) | TX |
8LW476 | BCBS (01) | TX |