Provider Demographics
NPI:1477523298
Name:YEE, GARY N (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:N
Last Name:YEE
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 1:15611 OYSTER COVE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3364
Mailing Address - Country:US
Mailing Address - Phone:832-367-2844
Mailing Address - Fax:281-968-7504
Practice Address - Street 1:15611 OYSTER COVE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3364
Practice Address - Country:US
Practice Address - Phone:832-367-2844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9040207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Z1821OtherBC/BS PROVIDER NUMBER
TX1477523298OtherTRICARE SOUTH
TX110521506Medicaid
TX110521507Medicaid
TXC23853Medicare UPIN
TX1477523298OtherTRICARE SOUTH
TN8924B5Medicare PIN
TX8685B4Medicare PIN
TX110521506Medicaid