Provider Demographics
NPI:1023359718
Name:YOURMED MANAGEMENT LLC
Entity Type:Organization
Organization Name:YOURMED MANAGEMENT LLC
Other - Org Name:YOURMED CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:LETICIA
Authorized Official - Last Name:CASTORENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-581-3781
Mailing Address - Street 1:8208 BEDFORD EULESS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7214
Mailing Address - Country:US
Mailing Address - Phone:817-581-3781
Mailing Address - Fax:817-581-3768
Practice Address - Street 1:8208 BEDFORD EULESS RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7214
Practice Address - Country:US
Practice Address - Phone:817-581-3781
Practice Address - Fax:817-581-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty