Provider Demographics
NPI:1629211859
Name:CHENG, YIN BONG (L AC)
Entity Type:Individual
Prefix:MR
First Name:YIN
Middle Name:BONG
Last Name:CHENG
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6910 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3509
Mailing Address - Country:US
Mailing Address - Phone:713-776-3442
Mailing Address - Fax:713-776-3442
Practice Address - Street 1:6910 BELLAIRE BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3509
Practice Address - Country:US
Practice Address - Phone:713-776-3442
Practice Address - Fax:713-776-3442
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00049171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist