Organization
PAULO R.T. YEN
Active
Other names
dba TLC Family Footcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULO R.T. YEN D.P.M. (OWNER)
(931) 648-9852
Entity
Organization
Contact information
Practice address
1823 MEMORIAL DR, CLARKSVILLE, TN 37043-4604
(931) 648-9852
(931) 906-8528
Mailing address
1823 MEMORIAL DR, CLARKSVILLE, TN 37043-4604
(931) 648-9852
(931) 906-8528
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DPM336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351486
—
TN
01
—
4109056
BC/BS
TN
Enumeration date
03/01/2008
Last updated
03/01/2008
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