Provider Demographics
NPI:1063943868
Name:JIANG, YVETTE YAN (MD)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:YAN
Last Name:JIANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 GEORGE DIETER DR STE 240
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7658
Mailing Address - Country:US
Mailing Address - Phone:915-910-6700
Mailing Address - Fax:
Practice Address - Street 1:1400 GEORGE DIETER DR STE 240
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7658
Practice Address - Country:US
Practice Address - Phone:159-910-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT3104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology