Healthcare Provider Details

I. General information

NPI: 1649531609
Provider Name (Legal Business Name): YEE PLASTIC SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 06/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 PINECROFT DR 2ND FLOOR
SHENANDOAH TX
77380-3222
US

IV. Provider business mailing address

19 DESTINY COVE
THE WOODLANDS TX
77381
US

V. Phone/Fax

Practice location:
  • Phone: 281-943-2704
  • Fax: 281-943-2743
Mailing address:
  • Phone: 281-943-2704
  • Fax: 281-943-2743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG6048
License Number StateTX

VIII. Authorized Official

Name: HILTON WONG YEE
Title or Position: OWNER
Credential: M.D.
Phone: 281-943-2704