Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 6420803 | VA |
N | 103K00000X | Behavior Analyst | 243328 | MN |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | POST-DOCTORAL FELLOW | TX |
N | 1041C0700X | Clinical Social Worker | 500297279 | VA |
N | 111NN0400X | Neurology | 243328 | MN |
N | 207Q00000X | Family Doctor | 9156199 | KS |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 00188147 | IL |
N | 207SG0201X | Clinical Genetics (M.D.) | 00188147 | IL |
NPI | 1992101125 |
---|---|
Provider Name | Dr. Kuo-Chun Yang |
First Address | Austin, TX 78701-4143 |
Second Address | Austin, TX 78741-5132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2014 |
Last Update Date | 25/12/2014 |