Provider Demographics
NPI:1821292483
Name:DENG, YUE (MD)
Entity Type:Individual
Prefix:DR
First Name:YUE
Middle Name:
Last Name:DENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 TOWN CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7679
Mailing Address - Country:US
Mailing Address - Phone:512-324-4875
Mailing Address - Fax:512-324-4876
Practice Address - Street 1:1512 TOWN CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7679
Practice Address - Country:US
Practice Address - Phone:512-324-4875
Practice Address - Fax:512-324-4876
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0017319207R00000X
TXM7941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3295907867OtherMYUTMB 3295907867-COMMERCIAL NUMBER
TX189964303Medicaid
TX8L14071Medicare PIN