Individual
EDWARD T. YEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 832, LITTLE ROCK, AR 72205-7101
(501) 686-5311
(501) 686-6439
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2016028739
MO
207RC0000X
Cardiovascular Disease Physician
Primary
E-13765
AR
207RC0000X
Cardiovascular Disease Physician
J5068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060060957
RR MEDICARE
TX
05
—
129871302
—
TX
01
—
8A2830
BCBS
TX
Enumeration date
09/13/2006
Last updated
01/21/2021
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