Healthcare Provider Details

I. General information

NPI: 1477523298
Provider Name (Legal Business Name): GARY N YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15611 OYSTER COVE DR
SUGAR LAND TX
77478-3364
US

IV. Provider business mailing address

15611 OYSTER COVE DR
SUGAR LAND TX
77478-3364
US

V. Phone/Fax

Practice location:
  • Phone: 832-367-2844
  • Fax:
Mailing address:
  • Phone: 832-367-2844
  • Fax: 281-968-7504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberE9040
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: