Healthcare Provider Details
I. General information
NPI: 1942681135
Provider Name (Legal Business Name): STEPHEN YANG MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2015
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13031 WORTHAM CENTER DR
HOUSTON TX
77065-5662
US
IV. Provider business mailing address
13031 WORTHAM CENTER DR
HOUSTON TX
77065-5662
US
V. Phone/Fax
- Phone: 817-284-9850
- Fax: 817-284-9859
- Phone: 832-280-2500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | M2213 |
| License Number State | TX |
VIII. Authorized Official
Name:
STEPHEN
YANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 817-284-9850