Provider Demographics
NPI:1457415754
Name:YEH, PETER J (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0406
Mailing Address - Country:US
Mailing Address - Phone:713-661-8900
Mailing Address - Fax:713-661-5535
Practice Address - Street 1:4888 LOOP CENTRAL DR
Practice Address - Street 2:STE 540
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2227
Practice Address - Country:US
Practice Address - Phone:713-661-8900
Practice Address - Fax:713-661-5535
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5751207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S3900OtherBCBS
LA1418218Medicaid
TX148543503Medicaid
LA1418218Medicaid
TXP00047328Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TX8C1625Medicare ID - Type Unspecified