Healthcare Provider Details

I. General information

NPI: 1073953766
Provider Name (Legal Business Name): FANG YE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SUNSET BLVD
HOUSTON TX
77005-1798
US

IV. Provider business mailing address

1701 SUNSET BLVD
HOUSTON TX
77005-1798
US

V. Phone/Fax

Practice location:
  • Phone: 713-526-5511
  • Fax:
Mailing address:
  • Phone: 713-526-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP123745
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number745136
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: