MEDICARE: PETER YU MD

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	208600000X	Surgery Physician	BP10067829	TX

General Provider Information

NPI Number	:	1013477124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER YU MD

Provider Business Mailing Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD STE 205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4562
Country	:	US
Telephone Number	:	346-618-4400
Fax Number	:

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

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	07/30/2024

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Directions to “ PETER YU MD” Practice Location

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