Healthcare Provider Details

I. General information

NPI: 1447463898
Provider Name (Legal Business Name): DONNA D YI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 KIRBY DR SUITE 790
HOUSTON TX
77098-3900
US

IV. Provider business mailing address

3701 KIRBY DR SUITE 790
HOUSTON TX
77098-3900
US

V. Phone/Fax

Practice location:
  • Phone: 832-582-8268
  • Fax: 832-582-8656
Mailing address:
  • Phone: 832-582-8268
  • Fax: 832-582-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberL0718
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: