Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | H2089 | TX |
NPI | 1023004470 |
---|---|
Provider Name | Dr. Victor W. Yang |
First Address | Houston, TX 77074-1806 |
Second Address | Houston, TX 77074-1806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 25/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129376302 | (05) | TX |
815302826 | (05) | TX |
E80307 | (02) | TX |