Healthcare Provider Details

I. General information

NPI: 1659745693
Provider Name (Legal Business Name): NORTH MEDICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 12/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W TIDWELL RD
HOUSTON TX
77091-4339
US

IV. Provider business mailing address

1075 KINGWOOD DR SUITE 150
KINGWOOD TX
77339-3010
US

V. Phone/Fax

Practice location:
  • Phone: 281-618-8500
  • Fax: 281-618-8636
Mailing address:
  • Phone: 281-358-8114
  • Fax: 281-358-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberM2876
License Number StateTX

VIII. Authorized Official

Name: DR. WON YI
Title or Position: PRESIDENT
Credential: DO
Phone: 832-754-5000