MEDICARE: DR. YVETTE NADEAU D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	9182	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0040NR	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1598889495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVETTE NADEAU D.C.

Provider Business Mailing Address
First Line	:	10701 CORPORATE DR STE 290
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-4094
Country	:	US
Telephone Number	:	281-242-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	10701 CORPORATE DR STE 290
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-4094
Country	:	US
Telephone Number	:	281-242-4476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	04/26/2026

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