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NPI Code Detail

MEDICARE: DR. MICHAEL YOON DPT

MEDICARE: DR. MICHAEL YOON DPT
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
1225100000XPhysical Therapist42771AL
2225100000XPhysical Therapist1257393TX

General Provider Information

NPI Number : 1801142617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL YOON DPT
Provider Business Mailing Address
First Line : 9833 WESTVIEW DR
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6125
Country : US
Telephone Number : 256-652-0393
Fax Number :
Provider Business Practice Location Address
First Line : 1341 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6427
Country : US
Telephone Number : 713-468-7821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2012
Last Update Date : 02/16/2022

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