Provider Demographics
NPI:1619596079
Name:YANG, BIRU (PHD, MPH, LAC)
Entity Type:Individual
Prefix:
First Name:BIRU
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:PHD, MPH, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT ST STE 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3866
Mailing Address - Country:US
Mailing Address - Phone:832-930-0905
Mailing Address - Fax:
Practice Address - Street 1:9660 HILLCROFT ST STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3866
Practice Address - Country:US
Practice Address - Phone:832-930-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-15
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01728171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC01728OtherACUPUNCTURE