Provider Demographics
NPI:1679583082
Name:YANG, WEIBIN (MD)
Entity Type:Individual
Prefix:
First Name:WEIBIN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 262671
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-2671
Mailing Address - Country:US
Mailing Address - Phone:214-857-1437
Mailing Address - Fax:214-857-1281
Practice Address - Street 1:4101 W SPRING CREEK PKWY
Practice Address - Street 2:STE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5204
Practice Address - Country:US
Practice Address - Phone:972-378-1348
Practice Address - Fax:888-789-6471
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1498208100000X
IL36-100971208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH51040Medicare UPIN