Healthcare Provider Details
I. General information
NPI: 1760784458
Provider Name (Legal Business Name): DR. TOMMY YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/01/2010
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9198 BELLAIRE BLVD STE A
HOUSTON TX
77036-4630
US
IV. Provider business mailing address
9198 BELLAIRE BLVD STE A
HOUSTON TX
77036-4630
US
V. Phone/Fax
- Phone: 713-776-8577
- Fax: 713-988-8788
- Phone: 713-776-8577
- Fax: 713-988-8788
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152WC0802X |
| Taxonomy | Corneal and Contact Management Optometrist |
| License Number | 3547TG |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: