MEDICARE: JY FAMILY MEDICINE & URGENT CARE, PLLC

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	261Q00000X	Clinic/Center		TX

General Provider Information

NPI Number	:	1386992121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JY FAMILY MEDICINE & URGENT CARE, PLLC

Provider Business Mailing Address
First Line	:	6609 W SAM HOUSTON PKWY S STE 98
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1641
Country	:	US
Telephone Number	:	832-433-7159
Fax Number	:

Provider Business Practice Location Address
First Line	:	6609 W SAM HOUSTON PKWY S STE 98
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1641
Country	:	US
Telephone Number	:	832-433-7159
Fax Number	:

Authorized Official
Title or Position	:	M.D.
Name	:	JIANWEI FENG
Credential	:
Telephone Number	:	713-595-9000

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	10/05/2016

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