Basic Information
| Provider Information | |||||||||
| NPI: | 1649657057 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YEUNG | ||||||||
| FirstName: | CHUN-YU | ||||||||
| MiddleName: | JERY | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6111 WOOD BYU | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782491923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816108474 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7555 NW LOOP 410 STE 114 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782452354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2105208070 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2015 | ||||||||
| LastUpdateDate: | 05/05/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1215078 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.