Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Yang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043003577

Jackie Yang is a Student in an Organized Health Care Education/Training Program in Austin, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 W Dean Keeton St
Austin, TX 78712-1091
Phone: (512) 471-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043003577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address100 W Dean Keeton St, Austin, TX 78712-1091

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