Provider Demographics
NPI:1215356233
Name:LIN, YUXUAN (MD)
Entity Type:Individual
Prefix:
First Name:YUXUAN
Middle Name:
Last Name:LIN
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 1:5231 FOUNTAINBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4835
Mailing Address - Country:US
Mailing Address - Phone:713-443-8571
Mailing Address - Fax:
Practice Address - Street 1:5231 FOUNTAINBROOK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4835
Practice Address - Country:US
Practice Address - Phone:713-443-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD832762085R0202X
PAMD4723372085R0202X
CAA1610562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology