Provider Demographics
NPI:1881666048
Name:YU, BETH JEEYOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:JEEYOUNG
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHI
Other - Middle Name:YONG
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4525 OHIO DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5710
Mailing Address - Country:US
Mailing Address - Phone:972-731-7717
Mailing Address - Fax:972-731-7753
Practice Address - Street 1:4525 OHIO DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5710
Practice Address - Country:US
Practice Address - Phone:972-731-7717
Practice Address - Fax:972-731-7753
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH96214Medicare UPIN