Provider Demographics
NPI:1255448569
Name:YANG, MICHAEL C (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
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 1:341 WHEATFIELD DRIVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182
Mailing Address - Country:US
Mailing Address - Phone:972-216-5800
Mailing Address - Fax:972-216-5801
Practice Address - Street 1:341 WHEATFIELD DRIVE
Practice Address - Street 2:SUITE 270
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182
Practice Address - Country:US
Practice Address - Phone:972-216-5800
Practice Address - Fax:972-216-5801
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0405207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157497202Medicaid
TX157497201Medicaid
TX88560NMedicare ID - Type Unspecified
TXG95555Medicare UPIN