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NPI Code Detail

MEDICARE: WON YI M.D.

MEDICARE: WON YI M.D.
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
1207L00000XAnesthesiology PhysicianM2876TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M2876OTHERTXSTATE LICENSE
28U4523OTHERTXBC PROVIDER ID

General Provider Information

NPI Number : 1053323030
Entity Type Code : Individual
Provider Name (Legal Business Name) : WON YI M.D.
Provider Business Mailing Address
First Line : 3316 MOUNT VERNON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3829
Country : US
Telephone Number : 713-944-5151
Fax Number : 713-944-9086
Provider Business Practice Location Address
First Line : 3316 MOUNT VERNON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3829
Country : US
Telephone Number : 713-949-5151
Fax Number : 713-944-9086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 11/28/2017

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