Provider Demographics
NPI:1952490609
Name:CECIL S.T. YEUNG, MD FACS AND ASSOCIATES
Entity Type:Organization
Organization Name:CECIL S.T. YEUNG, MD FACS AND ASSOCIATES
Other - Org Name:THE YEUNG INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CECIL
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS
Authorized Official - Phone:713-795-4885
Mailing Address - Street 1:1103 BANKS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6113
Mailing Address - Country:US
Mailing Address - Phone:713-795-4885
Mailing Address - Fax:713-795-0502
Practice Address - Street 1:1103 BANKS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6113
Practice Address - Country:US
Practice Address - Phone:713-795-4885
Practice Address - Fax:713-795-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1681261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC23858Medicare UPIN
TX00G94DMedicare PIN