Basic Information
| Provider Information | |||||||||
| NPI: | 1881014637 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YANG | ||||||||
| FirstName: | FANG | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 W 27TH ST STE 5S | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100016208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176345311 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1941 EAST RD | ||||||||
| Address2: | SUITE 3236 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770546010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134862570 | ||||||||
| FaxNumber: | 7134862565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2014 | ||||||||
| LastUpdateDate: | 03/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | S1308 | TX | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.