MEDICARE: YVONNE KEW MD, PHD

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	2084N0400X	Neurology Physician	L8759	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871673137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE KEW MD, PHD

Provider Business Mailing Address
First Line	:	2646 S LOOP W STE 440
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5616
Country	:	US
Telephone Number	:	713-534-1300
Fax Number	:	713-534-1984

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 440
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5616
Country	:	US
Telephone Number	:	713-534-1300
Fax Number	:	713-534-1984

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/02/2025

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