Michael David Yerger

Individual provider Active NPI Attendant Care Provider · Driftwood, TX

NPI 1194374769 · NPPES record last updated Sep 6, 2019

Key facts

NPI
1194374769
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
710 Hawthorne Loop
Driftwood, TX 78619-4450
Phone
(512) 970-3439
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

710 Hawthorne Loop
Driftwood, TX 78619-4450

Mailing address

710 Hawthorne Loop
Driftwood, TX 78619-4450
Phone (512) 970-3439

Other providers in Driftwood, TX

All providers in Driftwood, TX · Attendant Care Provider in Texas

Sources for this page

Verify at the official NPI Registry.