Healthcare Provider Details

I. General information

NPI: 1932494374
Provider Name (Legal Business Name): SIMON YAU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US

IV. Provider business mailing address

6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-0006
  • Fax:
Mailing address:
  • Phone: 713-441-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10041543
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberR1478
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: