NPI Code Details Logo

NPI 1740279108

NPI 1740279108 : MICHAEL T. YEN M.D. : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740279108
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL T. YEN M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/18/2005
-----------------------------------------------------
    Last Update Date     |    01/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1504 TAUB LOOP 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77030-1608
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-526-4243
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 4771 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77210-4771
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-798-6100
-----------------------------------------------------
    Fax                  |    713-798-4231
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    L5190
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.