Provider Demographics
NPI:1023004470
Name:YANG, VICTOR W (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:W
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7737 SOUTHWEST FWY STE 950
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1806
Mailing Address - Country:US
Mailing Address - Phone:713-955-7345
Mailing Address - Fax:832-648-7747
Practice Address - Street 1:7737 SOUTHWEST FWY STE 950
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1806
Practice Address - Country:US
Practice Address - Phone:832-968-7441
Practice Address - Fax:713-893-7403
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2089207RG0100X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129376302Medicaid
TX815302826Medicaid
TXE80307Medicare UPIN