Individual
EDDIE K. YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 VISTA RD, PASADENA, TX 77504-2117
(713) 378-3066
(713) 378-3077
Mailing address
PO BOX 5607, PASADENA, TX 77508-5607
(713) 378-3066
(713) 378-3077
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
E4782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046CC
MEDICARE RPK GROUP #
TX
05
—
110824305
—
TX
Enumeration date
11/21/2006
Last updated
04/14/2009
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