Provider Demographics
NPI:1760682561
Name:OO, YIN HTWE (MD)
Entity type:Individual
Prefix:
First Name:YIN
Middle Name:HTWE
Last Name:OO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13100 NORTHWEST FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6310
Mailing Address - Country:US
Mailing Address - Phone:866-693-4223
Mailing Address - Fax:281-897-9906
Practice Address - Street 1:4519 MATLOCK RD
Practice Address - Street 2:SUITE 135
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-5660
Practice Address - Country:US
Practice Address - Phone:866-693-4223
Practice Address - Fax:281-897-9906
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI50235207R00000X
NY255278208M00000X, 390200000X
CAA102174207R00000X
TXP6053207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI50235OtherWI STATE LICENSE
A102174OtherCALIFORNIA MEDICAL LISCENSE
TXP6053OtherSTATE LICENSE
NY255278OtherNEW YORK MEDICAL LISCENSE
NY34916200Medicaid