Individual
NATHAN YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 758-3444
Mailing address
3004 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 758-3444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33137
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
06/13/2022
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