Healthcare Provider Details

I. General information

NPI: 1124948955
Provider Name (Legal Business Name): YANXIAO TANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 SPRING CYPRESS RD STE CC
SPRING TX
77388-3667
US

IV. Provider business mailing address

46 WOOD SCENT CT
THE WOODLANDS TX
77380-2851
US

V. Phone/Fax

Practice location:
  • Phone: 281-602-9060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT140813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: