=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659422780
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOWARD GO YAP LPT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2007
-----------------------------------------------------
Last Update Date | 03/04/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 S COLLEGE AVE
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77327-4504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-480-5212
-----------------------------------------------------
Fax | 936-273-8885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 79 ALDEN GLEN DR
-----------------------------------------------------
City | THE WOODLANDS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77382-1368
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-273-9798
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 1062222
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------