MEDICARE: MS. YU-JIING GAU RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	933061	TX

General Provider Information

NPI Number	:	1265046536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YU-JIING GAU RN

Provider Business Mailing Address
First Line	:	2205 OKLAHOMA AVE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2069
Country	:	US
Telephone Number	:	702-209-7791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 OKLAHOMA AVE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2069
Country	:	US
Telephone Number	:	702-209-7791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2020
Last Update Date	:	09/03/2020

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