Basic Information
Provider Information
NPI: 1780248690
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YEE
FirstName: HAROLD
MiddleName: LOUIS
NamePrefix: MR.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3046
Address2:  
City: MALVERN
State: PA
PostalCode: 193550746
CountryCode: US
TelephoneNumber: 9566305522
FaxNumber: 9566827730
Practice Location
Address1: 500 E RIDGE RD STE 300
Address2:  
City: MCALLEN
State: TX
PostalCode: 785031508
CountryCode: US
TelephoneNumber: 9566305522
FaxNumber: 9566827730
Other Information
ProviderEnumerationDate: 04/25/2019
LastUpdateDate: 06/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP140956TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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