Provider Demographics
NPI:1386992121
Name:JY FAMILY MEDICINE & URGENT CARE, PLLC
Entity type:Organization
Organization Name:JY FAMILY MEDICINE & URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JIANWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:FENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-595-9000
Mailing Address - Street 1:6609 W SAM HOUSTON PKWY S STE 98
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1641
Mailing Address - Country:US
Mailing Address - Phone:832-433-7159
Mailing Address - Fax:
Practice Address - Street 1:6609 W SAM HOUSTON PKWY S STE 98
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1641
Practice Address - Country:US
Practice Address - Phone:832-433-7159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center