Provider Demographics
NPI:1487812590
Name:YAU, COURTNEY SHEA-RAINER (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:SHEA-RAINER
Last Name:YAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:SHEA
Other - Last Name:RAINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:1500 RIVERY BLVD STE 2215
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3064
Practice Address - Country:US
Practice Address - Phone:512-687-2300
Practice Address - Fax:512-687-2350
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4860207RH0003X, 207RX0202X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01626918OtherRAILROAD MEDICARE
TX298795002Medicaid
TX298795003Medicaid
TX431702YK4EMedicare PIN
TX298795002Medicaid