Provider Demographics
NPI:1609604057
Name:YEOMANS, TRENTON ISAIAH
Entity type:Individual
Prefix:
First Name:TRENTON
Middle Name:ISAIAH
Last Name:YEOMANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2797 S STONEBRIDGE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-1216
Mailing Address - Country:US
Mailing Address - Phone:972-529-9911
Mailing Address - Fax:
Practice Address - Street 1:2797 S STONEBRIDGE DR STE 10
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-1216
Practice Address - Country:US
Practice Address - Phone:972-529-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor