Provider Demographics
NPI:1750336517
Name:YAPTANGCO, ANDRE WARRICK (PT)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:WARRICK
Last Name:YAPTANGCO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11405 MISTY MORNING ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8271
Mailing Address - Country:US
Mailing Address - Phone:713-794-7054
Mailing Address - Fax:713-794-7014
Practice Address - Street 1:11405 MISTY MORNING ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8271
Practice Address - Country:US
Practice Address - Phone:713-794-7054
Practice Address - Fax:713-794-7014
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 15739225100000X
TX1167928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist