Healthcare Provider Details

I. General information

NPI: 1841545647
Provider Name (Legal Business Name): YUEN C CHENG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 S LAKELINE BLVD
CEDAR PARK TX
78613-4755
US

IV. Provider business mailing address

PO BOX 208357
DALLAS TX
75320-8357
US

V. Phone/Fax

Practice location:
  • Phone: 855-876-7246
  • Fax: 855-277-5070
Mailing address:
  • Phone: 512-485-7208
  • Fax: 737-304-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberR0207
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberR0207
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: