Provider Demographics
NPI:1154544344
Name:FYC ENTERPRISE PC
Entity type:Organization
Organization Name:FYC ENTERPRISE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FEI-LING
Authorized Official - Middle Name:
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-844-7888
Mailing Address - Street 1:1616 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3600
Mailing Address - Country:US
Mailing Address - Phone:405-844-7888
Mailing Address - Fax:405-844-8881
Practice Address - Street 1:1616 S STATE ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3600
Practice Address - Country:US
Practice Address - Phone:405-844-7888
Practice Address - Fax:405-844-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK40052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty