Provider Demographics
NPI:1437213733
Name:PETER J. YEH, MD, PA
Entity Type:Organization
Organization Name:PETER J. YEH, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, CHC
Authorized Official - Phone:713-661-8900
Mailing Address - Street 1:PO BOX 20406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0406
Mailing Address - Country:US
Mailing Address - Phone:713-661-8900
Mailing Address - Fax:
Practice Address - Street 1:4888 LOOP CENTRAL DR
Practice Address - Street 2:STE 540
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2227
Practice Address - Country:US
Practice Address - Phone:713-661-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5751207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty