Healthcare Provider Details

I. General information

NPI: 1245260967
Provider Name (Legal Business Name): CLIFFORD W YUT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 RESEARCH FOREST DRIVE STE 360
THE WOODLANDS TX
77382
US

IV. Provider business mailing address

8000 RESEARCH FOREST DRIVE STE 360
THE WOODLANDS TX
77382
US

V. Phone/Fax

Practice location:
  • Phone: 281-292-1191
  • Fax: 281-362-9170
Mailing address:
  • Phone: 281-292-1191
  • Fax: 281-362-9170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK2830
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK2830
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: