Healthcare Provider Details

I. General information

NPI: 1326545435
Provider Name (Legal Business Name): KIMBERLY YAU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 PARK PLACE AVE
BEDFORD TX
76022-6033
US

IV. Provider business mailing address

1701 PARK PLACE AVE
BEDFORD TX
76022-6033
US

V. Phone/Fax

Practice location:
  • Phone: 817-540-1157
  • Fax:
Mailing address:
  • Phone: 817-540-1157
  • Fax: 817-267-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberV7318
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: