Provider Demographics
NPI:1871819334
Name:YIN-YANG ORTHODONTIC MANAGEMENT, LLC
Entity Type:Organization
Organization Name:YIN-YANG ORTHODONTIC MANAGEMENT, LLC
Other - Org Name:DISCOVER ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-463-1010
Mailing Address - Street 1:6052 N FRY RD STE H
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1883
Mailing Address - Country:US
Mailing Address - Phone:281-463-1010
Mailing Address - Fax:
Practice Address - Street 1:6052 N FRY RD STE H
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1883
Practice Address - Country:US
Practice Address - Phone:281-463-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty