Individual
KIN TAK JOHN YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
089007561CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
209019914
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043WCGQBA
—
OR
01
—
430021035
RAILROAD MEDICARE
OR
Enumeration date
08/03/2006
Last updated
10/28/2019
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