MEDICARE: M&YOU 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	261QP3300X	Pain Clinic/Center	ACO1179	TX

General Provider Information

NPI Number	:	1245543248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&YOU LLC

Provider Business Mailing Address
First Line	:	1035 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7424
Country	:	US
Telephone Number	:	713-984-2255
Fax Number	:	713-984-2255

Provider Business Practice Location Address
First Line	:	1035 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7424
Country	:	US
Telephone Number	:	713-984-2255
Fax Number	:	713-984-2255

Authorized Official
Title or Position	:	OWNER, PROVIDER
Name	:	DR. KYUNG SOO YOU
Credential	:	M.D., ACU
Telephone Number	:	713-984-2255

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	08/12/2010

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Directions to “M&YOU LLC ” Practice Location

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