Provider Demographics
NPI:1407290091
Name:YEH, OWEN LI-YOUNG (MD)
Entity Type:Individual
Prefix:
First Name:OWEN
Middle Name:LI-YOUNG
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:4.174 JSA
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0566
Mailing Address - Country:US
Mailing Address - Phone:409-772-4182
Mailing Address - Fax:409-772-6507
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:4.174 JSA
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0566
Practice Address - Country:US
Practice Address - Phone:409-772-4182
Practice Address - Fax:409-772-6507
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0817208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist