Healthcare Provider Details

I. General information

NPI: 1679899512
Provider Name (Legal Business Name): SHERMAN YEANG R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2010
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 HIGHWAY 6 N
HOUSTON TX
77084-2718
US

IV. Provider business mailing address

7823 CLOVER KNOLL CT
HOUSTON TX
77095-4174
US

V. Phone/Fax

Practice location:
  • Phone: 281-463-9148
  • Fax: 281-463-9165
Mailing address:
  • Phone: 281-463-7739
  • Fax: 281-463-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31675
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: