MEDICARE: YONG LIANG PH.D, CNIM,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	2579	TX

General Provider Information

NPI Number	:	1386987980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONG LIANG PH.D, CNIM,

Provider Business Mailing Address
First Line	:	9301 SOUTHWEST FWY
Second Line	:	SUITE 355
City	:	HOUSTON
State	:	TX
Zip	:	77074-1510
Country	:	US
Telephone Number	:	713-581-6950
Fax Number	:	713-581-6951

Provider Business Practice Location Address
First Line	:	9301 SOUTHWEST FWY
Second Line	:	SUITE 355
City	:	HOUSTON
State	:	TX
Zip	:	77074-1510
Country	:	US
Telephone Number	:	713-581-6950
Fax Number	:	713-581-6951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2013
Last Update Date	:	06/19/2014

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