MEDICARE: YEPPY DESIGN

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1275856809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YEPPY DESIGN

Provider Business Mailing Address
First Line	:	2402 RICE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 RICE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3203
Country	:	US
Telephone Number	:	800-441-3651
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANG WOOK PARK
Credential	:
Telephone Number	:	409-692-6527

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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Directions to “YEPPY DESIGN ” Practice Location

Language	Start Address	Practice Location

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