Basic Information
| Provider Information | |||||||||
| NPI: | 1962541466 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | UY | ||||||||
| FirstName: | HARRY | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1303 MCCULLOUGH AVE | ||||||||
| Address2: | SUITE 374 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782125615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102235483 | ||||||||
| FaxNumber: | 2102235492 | ||||||||
| Practice Location | |||||||||
| Address1: | 1303 MCCULLOUGH AVE | ||||||||
| Address2: | SUITE 374 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782125615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102235483 | ||||||||
| FaxNumber: | 2102235492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 12/23/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | J5931 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | 207RE0101X | A49290 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 118817901 | 05 | TX | MEDICAID | A007 | 01 | TX | TRICARE | OTHER |