Individual
DR. PAULO R.T. YEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1735 HAYNES ST, CLARKSVILLE, TN 37043-4598
(931) 648-9852
(931) 906-8528
Mailing address
1735 HAYNES ST, CLARKSVILLE, TN 37043-4598
(931) 648-9852
(931) 906-8528
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DPM336
TN
213ES0131X
Foot Surgery Podiatrist
Primary
DPM336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351486
—
TN
01
—
4109056
BC/BS
TN
01
—
P00310705
RAILROAD MEDICARE
TN
Enumeration date
07/17/2006
Last updated
07/20/2012
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