Provider Demographics
NPI:1063572097
Name:YU, KARL DAWYUAN (PA)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:DAWYUAN
Last Name:YU
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 EDENDERRY CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2749
Mailing Address - Country:US
Mailing Address - Phone:281-403-2207
Mailing Address - Fax:
Practice Address - Street 1:1211 HIGHWAY 6
Practice Address - Street 2:SUITE 40
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4941
Practice Address - Country:US
Practice Address - Phone:281-494-7773
Practice Address - Fax:281-494-7399
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02394363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant