Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | N8935 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | N8935 | TX |
NPI | 1700016482 |
---|---|
Provider Name | Zi Yang Jiang |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 19/01/2016 |