Provider Demographics
NPI:1437013653
Name:EVERSAGE HEALTH LLC
Entity type:Organization
Organization Name:EVERSAGE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAM
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:281-786-7577
Mailing Address - Street 1:4803 PRESTON TRAILS LN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3885
Mailing Address - Country:US
Mailing Address - Phone:281-786-7577
Mailing Address - Fax:
Practice Address - Street 1:4803 PRESTON TRAILS LN
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3885
Practice Address - Country:US
Practice Address - Phone:281-786-7577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty