Provider Demographics
NPI:1720479140
Name:YUAN, XIAOYING (LAC)
Entity Type:Individual
Prefix:MS
First Name:XIAOYING
Middle Name:
Last Name:YUAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:YUAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:4214 S PINE BROOK CV
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3261
Mailing Address - Country:US
Mailing Address - Phone:832-770-0686
Mailing Address - Fax:
Practice Address - Street 1:16300 SEA LARK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5747
Practice Address - Country:US
Practice Address - Phone:281-461-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01592171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist