Provider Demographics
NPI:1639319106
Name:YANG, ZHONG JING (PHYSICIAN ASSIST)
Entity Type:Individual
Prefix:DR
First Name:ZHONG JING
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:PHYSICIAN ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10023 MAIN ST
Mailing Address - Street 2:STE C9
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5252
Mailing Address - Country:US
Mailing Address - Phone:713-791-1633
Mailing Address - Fax:713-791-1633
Practice Address - Street 1:9320 WESTWOOD VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8733
Practice Address - Country:US
Practice Address - Phone:281-435-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00481363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant