Provider Demographics
NPI:1699759548
Name:YANG, QINGHUA (MD, PHD)
Entity type:Individual
Prefix:
First Name:QINGHUA
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840294
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0294
Mailing Address - Country:US
Mailing Address - Phone:888-344-1160
Mailing Address - Fax:972-331-3148
Practice Address - Street 1:6655 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:214-277-8700
Practice Address - Fax:214-596-2297
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7267207ZP0102X, 207ZP0102X
GA056792207ZP0102X
KS29615207ZP0102X
LAMD.200519207ZP0102X
OH35.086881207ZP0102X
UT5829454-1205207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K7121OtherBCBS
TX8B2290Medicare ID - Type Unspecified
TX8K7121OtherBCBS