Healthcare Provider Details
I. General information
NPI: 1669409611
Provider Name (Legal Business Name): YEUNG INSTITUTE SURGERY CENTER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1107 BANKS ST
HOUSTON TX
77006-6113
US
IV. Provider business mailing address
1107 BANKS ST
HOUSTON TX
77006-6113
US
V. Phone/Fax
- Phone: 713-795-4885
- Fax: 713-795-0502
- Phone: 713-795-4885
- Fax: 713-795-0502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | 008273 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
CECIL
S. T.
YEUNG
Title or Position: CEO
Credential: M.D.
Phone: 713-795-4885