Doctor Name: | PEDRO YEN |
NPI Number: | 1720163751 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K1958 |
Business Practice Address: | 1900 Oates Dr Suite 138 Mesquite, TX - 751506862 |
Business Phone Number: | 9722707600 |
Business Fax Number: | 9722709968 |
Mailing Address: | 4137 Walnut Glen Pl, DALLAS |
State: | TX |
Postal Code: | 752296271 |
Phone Number: | 2143663796 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | K1958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |