Individual
KEVIN WEIDE YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3459 BINKLEY AVE, DALLAS, TX 75205-2229
(800) 841-4236
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
V3144
TX
Other
Enumeration date
03/23/2019
Last updated
08/26/2025
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