Provider Demographics
NPI:1548466170
Name:YANG, STEPHEN (RMT, THD)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:RMT, THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-3138
Mailing Address - Country:US
Mailing Address - Phone:915-755-9264
Mailing Address - Fax:
Practice Address - Street 1:7808 ALABAMA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-3138
Practice Address - Country:US
Practice Address - Phone:915-755-9264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist