Individual
YUEH RU MEL JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8PR468
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
—
8PR503
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
—
8PR506
BCBS - XCITE SURGICAL
TX
01
—
8PX964
BCBS - US MSO
TX
01
—
8PZ639
BCBS - BLUE STAR SURGICAL
TX
01
—
PA12691
TEXAS MEDICAL BOARD
TX
Enumeration date
08/10/2019
Last updated
06/09/2023
Update your record
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