Basic Information
| Provider Information | |||||||||
| NPI: | 1659745693 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH MEDICAL SERVICES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1075 KINGWOOD DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | KINGWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773393010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813588114 | ||||||||
| FaxNumber: | 2813580609 | ||||||||
| Practice Location | |||||||||
| Address1: | 510 W TIDWELL RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770914339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816188500 | ||||||||
| FaxNumber: | 2816188636 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2015 | ||||||||
| LastUpdateDate: | 12/05/2017 | ||||||||
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| AuthorizedOfficialLastName: | YI | ||||||||
| AuthorizedOfficialFirstName: | WON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8327545000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | M2876 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.