Healthcare Provider Details

I. General information

NPI: 1568132090
Provider Name (Legal Business Name): OSCAR ALEXANDER YEE MSN, ACNP, AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11989 PELLICANO DR STE C
EL PASO TX
79936-6288
US

IV. Provider business mailing address

9901 CHEZELLE DR
EL PASO TX
79925-5407
US

V. Phone/Fax

Practice location:
  • Phone: 915-857-0700
  • Fax: 915-857-7495
Mailing address:
  • Phone: 915-731-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number00000000000
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number65355
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number1054696
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number65355
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1054696
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number65355
License Number StateNM
# 7
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1054696
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: