Provider Demographics
NPI:1477967164
Name:YUN, OLIVIA DAYEA (MD)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:DAYEA
Last Name:YUN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4515 SETON CENTER PKWY STE 215
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5785
Mailing Address - Country:US
Mailing Address - Phone:512-231-5506
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:940 HESTERS CROSSING RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8018
Practice Address - Country:US
Practice Address - Phone:512-244-9024
Practice Address - Fax:512-406-7342
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
TXR1678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX377844101Medicaid
TX377844102Medicaid