Organization
YUTANG SU MD PLLC
Active
Other names
Valley Vitreoretinal Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUTANG SU MD (MD/OWNER)
(956) 271-4719
Entity
Organization
Contact information
Practice address
2103 E GRIFFIN PKWY STE B, MISSION, TX 78572-3490
(956) 271-4719
(956) 271-4717
Mailing address
2103 E GRIFFIN PKWY STE B, MISSION, TX 78572-3490
(956) 271-4719
(956) 271-4717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J6751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217350201
—
TX
Enumeration date
06/29/2010
Last updated
06/12/2012
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