MEDICARE: YUEMENG DAI M.D., PHD

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	208100000X	Physical Medicine & Rehabilitation Physician	R0555	TX

General Provider Information

NPI Number	:	1215370564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUEMENG DAI M.D., PHD

Provider Business Mailing Address
First Line	:	1024 N GALLOWAY AVE
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-2434
Country	:	US
Telephone Number	:	972-285-2900
Fax Number	:	972-584-0325

Provider Business Practice Location Address
First Line	:	1023 N BELT LINE RD
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-1788
Country	:	US
Telephone Number	:	972-216-2400
Fax Number	:	972-216-2455

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

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	03/17/2018

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