Yoo, Jae Hong

Yoo, Jae Hong is an individual health care provider with primary practice located at 3445 Executive Center Dr Suite 250, Austin TX 78731-1678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Yoo, Jae Hong can be contacted via phone (512) 579-4000.

Contact Information

Primary practice address
3445 Executive Center Dr Suite 250 Austin TX 78731-1678
Fax: (512) 439-2814
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X F0358 Texas

Profile Details

NPI number 1225008311
LBN Legal business name Yoo, Jae Hong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 16th, 2012 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225008311 NPPES
Texas MEDICAID 132437804

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