Individual
YI-WEN MICHELLE PU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.H.A.
Contact information
Practice address
1333 MOURSUND ST, HOUSTON, TX 77030-3405
(713) 799-6927
Mailing address
1333 MOURSUND AVENUE, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N4003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205038701
—
TX
Enumeration date
07/06/2009
Last updated
09/03/2024
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