Provider Demographics
NPI:1649650045
Name:DUAN, YAN (MD)
Entity type:Individual
Prefix:
First Name:YAN
Middle Name:
Last Name:DUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 HIGHWAY 6 SOUTH
Mailing Address - Street 2:STE 202
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5135
Mailing Address - Country:US
Mailing Address - Phone:832-500-1285
Mailing Address - Fax:713-273-5820
Practice Address - Street 1:1429 HIGHWAY 6 SOUTH, STE 202
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5135
Practice Address - Country:US
Practice Address - Phone:832-500-1285
Practice Address - Fax:281-242-4341
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125066683207R00000X
TXR6555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine