Basic Information
| Provider Information | |||||||||
| NPI: | 1063572097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YU | ||||||||
| FirstName: | KARL | ||||||||
| MiddleName: | DAWYUAN | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4503 EDENDERRY CT | ||||||||
| Address2: | |||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774592749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814032207 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1211 HIGHWAY 6 | ||||||||
| Address2: | SUITE 40 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774784941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814947773 | ||||||||
| FaxNumber: | 2814947399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA02394 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.