Provider Demographics
NPI:1447545124
Name:SONG, YAOPING VIOLET (PHD, LAC)
Entity type:Individual
Prefix:DR
First Name:YAOPING
Middle Name:VIOLET
Last Name:SONG
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:
Other - Last Name:SONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LAC
Mailing Address - Street 1:5900 BALCONES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4298
Mailing Address - Country:US
Mailing Address - Phone:512-518-6012
Mailing Address - Fax:
Practice Address - Street 1:11651 JOLLYVILLE RD STE 150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4106
Practice Address - Country:US
Practice Address - Phone:512-518-6012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01265171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist