Provider Demographics
NPI:1962744714
Name:LUAN, YONGRUI (MD)
Entity type:Individual
Prefix:
First Name:YONGRUI
Middle Name:
Last Name:LUAN
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 1:201 E I30 STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5402
Mailing Address - Country:US
Mailing Address - Phone:972-772-3100
Mailing Address - Fax:469-757-4890
Practice Address - Street 1:3360 W FM 544 STE 910
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-9426
Practice Address - Country:US
Practice Address - Phone:972-772-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7229208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics