Provider Demographics
NPI:1396841268
Name:YU, TSE-KUAN (MD PHD)
Entity Type:Individual
Prefix:
First Name:TSE-KUAN
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:10405 KATY FWY STE 150E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1165
Practice Address - Country:US
Practice Address - Phone:713-722-9660
Practice Address - Fax:713-722-9664
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM22182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8D8908Medicare ID - Type Unspecified
I40649Medicare UPIN