Provider Demographics
NPI:1720196975
Name:UY, JIMMY YU (MD)
Entity Type:Individual
Prefix:
First Name:JIMMY
Middle Name:YU
Last Name:UY
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 1:4242 E SOUTHCROSS BLVD
Mailing Address - Street 2:SUITE 05
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3751
Mailing Address - Country:US
Mailing Address - Phone:210-359-9898
Mailing Address - Fax:210-359-8107
Practice Address - Street 1:4242 E SOUTHCROSS BLVD
Practice Address - Street 2:SUITE 05
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3751
Practice Address - Country:US
Practice Address - Phone:210-359-9898
Practice Address - Fax:210-359-8107
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1946207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096419904Medicaid
TX0061KAOtherBCBS
TX0061KAOtherBCBS
TX00698HMedicare PIN