Provider Demographics
NPI:1750733861
Name:TAY, SOK YAN (MD)
Entity type:Individual
Prefix:MS
First Name:SOK YAN
Middle Name:
Last Name:TAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 FANNIN
Mailing Address - Street 2:SUITE D 0640 00
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-822-0697
Mailing Address - Fax:832-825-3251
Practice Address - Street 1:6701 FANNIN
Practice Address - Street 2:SUITE D 0640 00
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-822-0697
Practice Address - Fax:832-825-3251
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2017-05-26
Deactivation Date:2017-02-27
Deactivation Code:
Reactivation Date:2017-05-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program