Provider Demographics
NPI:1699901876
Name:HAN, ERIC YULONG
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:YULONG
Last Name:HAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YULONG
Other - Middle Name:
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 53, UTMDACC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-794-5625
Mailing Address - Fax:713-792-2313
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 53, UTMDACC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-794-5625
Practice Address - Fax:713-792-2313
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245587207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology