MEDICARE: YAN CONG

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	225700000X	Massage Therapist	MT136381	TX

General Provider Information

NPI Number	:	1881525509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAN CONG

Provider Business Mailing Address
First Line	:	23818 FLOWER BUD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-0130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2335 S KIRKWOOD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6505
Country	:	US
Telephone Number	:	832-206-3485
Fax Number	:

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

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ YAN CONG ” Practice Location

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