Provider Demographics
NPI:1194236349
Name:CHEREMATENG, YAA
Entity type:Individual
Prefix:
First Name:YAA
Middle Name:
Last Name:CHEREMATENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20007 CYPRESSWOOD SQ
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-3297
Mailing Address - Country:US
Mailing Address - Phone:281-753-8635
Mailing Address - Fax:
Practice Address - Street 1:9850C EMMETT F LOWRY EXPY STE C-103
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2122
Practice Address - Country:US
Practice Address - Phone:409-938-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54962363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant