Individual
LEI YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8530
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U7084
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10066489
TX
Other
Enumeration date
06/11/2019
Last updated
05/22/2024
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