Provider Demographics
NPI:1598889495
Name:NADEAU, YVETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:NADEAU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14873 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5016
Mailing Address - Country:US
Mailing Address - Phone:281-242-4476
Mailing Address - Fax:281-242-4484
Practice Address - Street 1:14873 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:281-242-4476
Practice Address - Fax:281-242-4484
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9182111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0040NROtherBLUE CROSS BLUE SHIELD
U93049Medicare UPIN
TX0040NROtherBLUE CROSS BLUE SHIELD