Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19756-20 | WI |
N | 111NI0900X | Internist | 19756-20 | WI |
Y | 207U00000X | Nuclear Medicine Specialist | 19756-20 | WI |
NPI | 1710251582 |
---|---|
Provider Name | En-Lin Yeh |
First Address | Plano, TX 75025-3204 |
Second Address | Plano, TX 75025-3204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2012 |
Last Update Date | 27/02/2012 |