Provider Demographics
NPI:1992101125
Name:YANG, KUO-CHUN (MD)
Entity type:Individual
Prefix:DR
First Name:KUO-CHUN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KUO
Other - Middle Name:CHUN
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4516 BURLESON RD UNIT 18273
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1204
Mailing Address - Country:US
Mailing Address - Phone:512-212-7565
Mailing Address - Fax:888-719-7648
Practice Address - Street 1:1806 MONTOPOLIS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-5132
Practice Address - Country:US
Practice Address - Phone:512-212-7565
Practice Address - Fax:888-719-7648
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA6420803101YM0800X
MN243328103K00000X, 111NN0400X, 2084H0002X, 2084P2900X
TXPOST-DOCTORAL FELLOW103TA0400X
VA5002972791041C0700X
DCA649065146D00000X, 146N00000X
KS9156199207Q00000X
IL00188147207SG0201X, 207QH0002X
DC000557546I207VH0002X
FL253733422083P0901X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No111NN0400XChiropractic ProvidersChiropractorNeurology
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program