Provider Demographics
NPI:1215193487
Name:GU, YING (MD)
Entity Type:Individual
Prefix:DR
First Name:YING
Middle Name:
Last Name:GU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 W SAM HOUSTON PKWY S STE 98
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1641
Mailing Address - Country:US
Mailing Address - Phone:832-433-7159
Mailing Address - Fax:832-433-7137
Practice Address - Street 1:6609 W SAM HOUSTON PKWY S
Practice Address - Street 2:98
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1640
Practice Address - Country:US
Practice Address - Phone:832-433-7159
Practice Address - Fax:832-433-7137
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2253207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3206575Medicaid