Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | L2064 | TX |
Y | 207RP1001X | Pulmonary Disease | L2064 | TX |
N | 207RS0012X | Sleep Medicine | L2064 | TX |
NPI | 1023183928 |
---|---|
Provider Name | Mrs. Amelia Y Yeh |
First Address | Abilene, TX 79606 |
Second Address | Abilene, TX 79606-5013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 26/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146348102 | (05) | TX |