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Individual

DR. YU TANG JAMES SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2103 E GRIFFIN PKWY, SUITE B, MISSION, TX 78572-3489
(956) 271-4719
(956) 271-4717
Mailing address
2103 E GRIFFIN PKWY, SUITE B, MISSION, TX 78572-3489
(956) 271-4719
(956) 271-4717

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
J6751
TX
207W00000X
Ophthalmology Physician
Primary
J6751
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127740000
ME
Enumeration date
06/23/2006
Last updated
06/12/2012
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