MEDICARE: JINGYIN YAN M.D., PH.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	207RN0300X	Nephrology Physician	P4919	TX

General Provider Information

NPI Number	:	1982865721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JINGYIN YAN M.D., PH.D.

Provider Business Mailing Address
First Line	:	6620 MAIN STREET
Second Line	:	STE.1375, DIVISION OF NEPHROLOGY
City	:	HOUSTON
State	:	TX
Zip	:	77030-2325
Country	:	US
Telephone Number	:	713-798-8350
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 MAIN STREET
Second Line	:	STE.1375, DIVISION OF NEPHROLOGY
City	:	HOUSTON
State	:	TX
Zip	:	77030-2325
Country	:	US
Telephone Number	:	713-798-8350
Fax Number	:

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	12/04/2020

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