Provider Demographics
NPI:1386629418
Name:YANG, ELIZABETH LI-TSAI (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LI-TSAI
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:122
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-589-4100
Mailing Address - Fax:281-589-4104
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:122
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-870-0700
Practice Address - Fax:281-870-0798
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH6721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF37162Medicare UPIN
TX8689B0Medicare ID - Type Unspecified