Provider Demographics
NPI:1780157412
Name:YAPMED INCORPORATED
Entity type:Organization
Organization Name:YAPMED INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DORA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-703-7006
Mailing Address - Street 1:79 ALDEN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1368
Mailing Address - Country:US
Mailing Address - Phone:936-689-0140
Mailing Address - Fax:
Practice Address - Street 1:206 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4504
Practice Address - Country:US
Practice Address - Phone:936-703-7006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPT162222OtherTEXAS STATE PHYSICAL THERAPY LICENSE