Provider Demographics
NPI:1245543248
Name:M&YOU LLC
Entity type:Organization
Organization Name:M&YOU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNG
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:YOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD, ACU
Authorized Official - Phone:713-984-2255
Mailing Address - Street 1:1035 BLALOCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7424
Mailing Address - Country:US
Mailing Address - Phone:713-984-2255
Mailing Address - Fax:713-984-2255
Practice Address - Street 1:1035 BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7424
Practice Address - Country:US
Practice Address - Phone:713-984-2255
Practice Address - Fax:713-984-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXACO1179261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain