Healthcare Provider Details
I. General information
NPI: 1215611322
Provider Name (Legal Business Name): XYR HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5012 US HWY 75 STE 230
DENISON TX
75020-4634
US
IV. Provider business mailing address
1800 MONACO DR
ALLEN TX
75002-2691
US
V. Phone/Fax
- Phone: 469-252-3510
- Fax:
- Phone: 469-545-8300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TERRY
YEUNG
Title or Position: PHYSICIAN
Credential: DO
Phone: 469-545-8300