Healthcare Provider Details

I. General information

NPI: 1215280532
Provider Name (Legal Business Name): RUI YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FANNIN ST STE 1700
HOUSTON TX
77030-1526
US

IV. Provider business mailing address

920 LAWRENCE ST UNIT A
HOUSTON TX
77008-6794
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-2060
  • Fax: 718-515-4386
Mailing address:
  • Phone: 281-236-6626
  • Fax: 718-515-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number276037
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: