Provider Demographics
NPI:1609623776
Name:YANG, JINGZI (MT)
Entity type:Individual
Prefix:
First Name:JINGZI
Middle Name:
Last Name:YANG
Suffix:
Gender:
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16033 SWEETWATER FIELDS LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2844
Mailing Address - Country:US
Mailing Address - Phone:254-900-7788
Mailing Address - Fax:
Practice Address - Street 1:18706 RICHLAND FALLS LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3466
Practice Address - Country:US
Practice Address - Phone:254-900-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT140732225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist