Individual
MS. YVETTE MARIE BOOKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
1810 TREMONT ST, GALVESTON, TX 77550-7904
(409) 763-7025
(409) 763-8648
Mailing address
1810 TREMONT ST, GALVESTON, TX 77550-7904
(409) 763-7025
(409) 763-8648
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1082741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00197S
MEDICARE GROUP #
TX
01
—
0045GR
BCBS GROUP #
TX
01
—
89995T
BCBS PROVIDER #
TX
Enumeration date
01/25/2006
Last updated
07/08/2007
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