MEDICARE: DR. DAVID T YU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	19593	TX
2	1223G0001X	General Practice Dentistry	19593	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013006345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID T YU DDS

Provider Business Mailing Address
First Line	:	5716 BELLAIRE BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5512
Country	:	US
Telephone Number	:	713-668-1600
Fax Number	:	713-668-1640

Provider Business Practice Location Address
First Line	:	5716 BELLAIRE BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5512
Country	:	US
Telephone Number	:	713-668-1600
Fax Number	:	713-668-1640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	06/11/2019

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