Provider Demographics
NPI:1215370564
Name:DAI, YUEMENG (MD, PHD)
Entity type:Individual
Prefix:
First Name:YUEMENG
Middle Name:
Last Name:DAI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 N GALLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2434
Mailing Address - Country:US
Mailing Address - Phone:972-285-2900
Mailing Address - Fax:972-584-0325
Practice Address - Street 1:1023 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1788
Practice Address - Country:US
Practice Address - Phone:972-216-2400
Practice Address - Fax:972-216-2455
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0555208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty