Provider Demographics
NPI:1083823785
Name:YANG, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
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 1:970 HESTERS CROSSING RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-8027
Mailing Address - Country:US
Mailing Address - Phone:512-238-0762
Mailing Address - Fax:512-341-7370
Practice Address - Street 1:970 HESTERS CROSSING RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8027
Practice Address - Country:US
Practice Address - Phone:512-238-0762
Practice Address - Fax:512-341-7370
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0209208800000X
PAMD453417208800000X
MTMED-PHYS-LIC-34911208800000X
FLME115344208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008978700Medicaid
FLHK350ZMedicare PIN
FL14QY4OtherBLUE CROSS BLUE SHIELD