Individual
JENNIFER YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 822-3250
Mailing address
6701 FANNIN STREET, FLOOR 6, OTOLARYNGOLOGY, HOUSTON, TX 77030
(832) 822-3250
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
S0828
TX
207YP0228X
Pediatric Otolaryngology Physician
Primary
S0828
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2014
Last updated
06/10/2022
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