Provider Demographics
NPI:1336978097
Name:HYUN, YOUNG
Entity type:Individual
Prefix:
First Name:YOUNG
Middle Name:
Last Name:HYUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W 6TH ST APT 354
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-4979
Mailing Address - Country:US
Mailing Address - Phone:913-633-9099
Mailing Address - Fax:
Practice Address - Street 1:1111 W 6TH ST APT 354
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-4979
Practice Address - Country:US
Practice Address - Phone:913-633-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1213833363LF0000X
KS13-145054-111163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WU0100XNursing Service ProvidersRegistered NurseUrology