Individual
MI MICKEY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11228 LOS COMANCHEROS RD, AUSTIN, TX 78717-4492
(210) 421-1809
Mailing address
11228 LOS COMMANCHEROS RD., AUSTIN, TX 78717
(210) 421-1809
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
R6945
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2011
Last updated
01/26/2022
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