Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | S6332 | TX |
N | 111NI0900X | Internist | S6332 | TX |
Y | 207RX0202X | Medical Oncology | S6332 | TX |
NPI | 1114529575 |
---|---|
Provider Name | Irene Sou Wai Yu |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2020 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
419986101 | (05) | TX |
419986102 | MEDICAID CSHCN (01) | TX |
8NS755 | BCBS (01) | TX |
Q00048008 | RAILROAD MEDICARE (01) | TX |