Provider Demographics
NPI:1679543052
Name:FOO, CHIEU YEUN (MD)
Entity type:Individual
Prefix:
First Name:CHIEU YEUN
Middle Name:
Last Name:FOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10905 MEMORIAL HERMANN DRIVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:713-383-4950
Mailing Address - Fax:713-383-4949
Practice Address - Street 1:10905 MEMORIAL HERMANN DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-383-4950
Practice Address - Fax:713-383-4949
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI48647Medicare UPIN