MEDICARE: UNIVERSITY SPINE AND NEUROSURGERY LLC

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	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1205415494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY SPINE AND NEUROSURGERY LLC

Provider Business Mailing Address
First Line	:	7601 W SAM HOUSTON PKWY S STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5239
Country	:	US
Telephone Number	:	800-713-8519
Fax Number	:	888-565-2928

Provider Business Practice Location Address
First Line	:	7601 W SAM HOUSTON PKWY S STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5239
Country	:	US
Telephone Number	:	800-713-8519
Fax Number	:	888-565-2928

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	YAN MICHAEL LI
Credential	:	MD, PHD
Telephone Number	:	800-713-8519

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	01/22/2026

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