Provider Demographics
NPI:1386730570
Name:YIP, YAN YAN BETH (MD)
Entity type:Individual
Prefix:
First Name:YAN YAN
Middle Name:BETH
Last Name:YIP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:Y. BETH
Other - Middle Name:
Other - Last Name:YIP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:2515 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-442-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2429208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105645901Medicaid
TX105645907Medicaid
TX105645905Medicaid
TX105645901Medicaid
TX105645901Medicaid
TXTXB114630Medicare PIN
TXTXB114637Medicare PIN