Individual
YAN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-1620
(214) 648-4080
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-1620
(214) 648-4080
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
M2013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173899901
—
TX
Enumeration date
03/16/2006
Last updated
12/01/2007
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