Healthcare Provider Details

I. General information

NPI: 1467694687
Provider Name (Legal Business Name): ANDREW LI-YUNG HING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 09/28/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11049 MEMORIAL HERMANN DRIVE #200
PEARLAND TX
77584
US

IV. Provider business mailing address

6400 FANNIN ST STE 1700
HOUSTON TX
77030-1526
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-6000
  • Fax: 713-486-6049
Mailing address:
  • Phone: 713-486-7500
  • Fax: 713-512-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberP4590
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD.205477
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD 16328
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: