Healthcare Provider Details

I. General information

NPI: 1205742848
Provider Name (Legal Business Name): YUNKYUNG EOM RESPIRATORY THERAPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15811 LINWOOD MANOR CT
CYPRESS TX
77429-6966
US

IV. Provider business mailing address

15811 LINWOOD MANOR CT
CYPRESS TX
77429-6966
US

V. Phone/Fax

Practice location:
  • Phone: 901-201-9961
  • Fax:
Mailing address:
  • Phone: 901-201-9961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP02006154
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: