Provider Demographics
NPI:1447259668
Name:YEAGER, SHERMAN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:SHERMAN
Middle Name:LEE
Last Name:YEAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10123 LOUETTA RD STE B200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2160
Mailing Address - Country:US
Mailing Address - Phone:832-843-6632
Mailing Address - Fax:832-514-6836
Practice Address - Street 1:10123 LOUETTA RD STE B200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2160
Practice Address - Country:US
Practice Address - Phone:832-843-6632
Practice Address - Fax:832-514-6836
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU99684Medicare UPIN
TX8B8317Medicare PIN