Provider Demographics
NPI:1982359576
Name:YEP TONG, ALLEN STEPHEN (RNFA)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:STEPHEN
Last Name:YEP TONG
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24333 CINCO TERRACE DR APT 624
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2669
Mailing Address - Country:US
Mailing Address - Phone:832-374-7349
Mailing Address - Fax:
Practice Address - Street 1:24333 CINCO TERRACE DR APT 624
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2669
Practice Address - Country:US
Practice Address - Phone:832-374-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20-251246ZC0007X
FLRN9581924163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant