Healthcare Provider Details

I. General information

NPI: 1437160975
Provider Name (Legal Business Name): DANIEL T, YEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8824 HUNTERS GLEN TRL
FORT WORTH TX
76120-2808
US

IV. Provider business mailing address

8824 HUNTERS GLEN TRL
FORT WORTH TX
76120-2808
US

V. Phone/Fax

Practice location:
  • Phone: 817-460-1531
  • Fax: 866-929-5697
Mailing address:
  • Phone: 817-460-1531
  • Fax: 866-929-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL T YEE
Title or Position: PRESIDENT
Credential:
Phone: 817-460-1531