Provider Demographics
NPI:1982078127
Name:TAN, LINYING
Entity Type:Individual
Prefix:PROF
First Name:LINYING
Middle Name:
Last Name:TAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 BANDERA RD # SET114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5615
Mailing Address - Country:US
Mailing Address - Phone:210-530-1884
Mailing Address - Fax:210-530-1224
Practice Address - Street 1:10350 BANDERA RD # SET114
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5615
Practice Address - Country:US
Practice Address - Phone:210-530-1884
Practice Address - Fax:210-530-1224
Is Sole Proprietor?:No
Enumeration Date:2015-11-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
TXAC01408171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist