Individual
DIANE Y JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 FANNIN ST STE 855, HOUSTON, TX 77054-1951
(713) 796-9466
(713) 796-9467
Mailing address
7400 FANNIN ST STE 855, HOUSTON, TX 77054-1951
(713) 796-9466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12596
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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