Individual
JINGBO YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(615) 383-2404
Mailing address
6431 FANNIN ST RM 5.020, HOUSTON, TX 77030-1501
(713) 500-6202
(713) 500-0648
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
24570366
TX
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
05/10/2017
Last updated
07/08/2022
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