Provider Demographics
NPI:1447463898
Name:YI, DONNA D (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:D
Last Name:YI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3701 KIRBY DR
Mailing Address - Street 2:SUITE 790
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3900
Mailing Address - Country:US
Mailing Address - Phone:832-582-8268
Mailing Address - Fax:832-582-8656
Practice Address - Street 1:3701 KIRBY DR
Practice Address - Street 2:SUITE 790
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3900
Practice Address - Country:US
Practice Address - Phone:832-582-8268
Practice Address - Fax:832-582-8656
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL07182084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A418501Medicaid
CAA0418501Medicare ID - Type Unspecified
CA00A418501Medicaid