Provider Demographics
NPI:1659353845
Name:YOU, MINGJIAN JAMES (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MINGJIAN
Middle Name:JAMES
Last Name:YOU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:MINGJIAN
Other - Middle Name:
Other - Last Name:YOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223897207ZP0101X
TXM7778207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188894301Medicaid
TXP00455704OtherRR MEDICARE
TX8U7582OtherBCBS
TX188894301Medicaid