Healthcare Provider Details

I. General information

NPI: 1457449191
Provider Name (Legal Business Name): HILTON WONG YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 11/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 PINECROFT DR SUITE 303
THE WOODLANDS TX
77380-3223
US

IV. Provider business mailing address

19 DESTINY COVE
THE WOODLANDS TX
77381
US

V. Phone/Fax

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

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:
Title or Position:
Credential:
Phone: