Provider Demographics
NPI:1497763627
Name:YU, PAUL HENG-PEI (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HENG-PEI
Last Name:YU
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 1:403 W CAMPBELL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3465
Mailing Address - Country:US
Mailing Address - Phone:972-235-8311
Mailing Address - Fax:972-235-2663
Practice Address - Street 1:403 W CAMPBELL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3465
Practice Address - Country:US
Practice Address - Phone:972-235-8311
Practice Address - Fax:972-235-2663
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK8999OtherMEDICAL LICENSE
TX8358BOMedicare ID - Type Unspecified
TXK8999OtherMEDICAL LICENSE