MEDICARE: DR. PETER J YEH 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
1	207T00000X	Neurological Surgery Physician	K5751	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S3900	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457415754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER J YEH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 20406
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77225-0406
Country	:	US
Telephone Number	:	713-661-8900
Fax Number	:	713-661-5535

Provider Business Practice Location Address
First Line	:	4888 LOOP CENTRAL DR
Second Line	:	STE 540
City	:	HOUSTON
State	:	TX
Zip	:	77081-2227
Country	:	US
Telephone Number	:	713-661-8900
Fax Number	:	713-661-5535

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/27/2016

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Directions to “ DR. PETER J YEH M.D.” Practice Location

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