MEDICARE: DR. STANLEY S YANG M.D.

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	207R00000X	Internal Medicine Physician	K5436	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0068HQ	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1659427862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY S YANG M.D.

Provider Business Mailing Address
First Line	:	9318 WICKFORD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3637
Country	:	US
Telephone Number	:	713-680-8696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 NORTH LOOP W STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1368
Country	:	US
Telephone Number	:	713-868-0029
Fax Number	:	713-880-4706

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

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	04/06/2014

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Directions to “ DR. STANLEY S YANG M.D.” Practice Location

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