Individual
THEODORE KUO-CHUN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25511 BUDDE RD, SUITE 1201, THE WOODLANDS, TX 77380-2080
(281) 364-1707
(281) 364-0028
Mailing address
PO BOX 8399, THE WOODLANDS, TX 77387-8399
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J6053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00251T
GROUP MEDICARE
TX
05
—
117273605
—
TX
05
—
117273606
—
TX
01
—
159064801
GROUP MEDICAID
TX
Enumeration date
07/22/2005
Last updated
09/15/2016
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