Provider Demographics
NPI:1164773842
Name:ALLEN FRIENDS & FAMILY CLINIC PLLC
Entity Type:Organization
Organization Name:ALLEN FRIENDS & FAMILY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHI-HWA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-342-6303
Mailing Address - Street 1:1314 W MCDERMOTT DR
Mailing Address - Street 2:STE 158
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3021
Mailing Address - Country:US
Mailing Address - Phone:469-342-6303
Mailing Address - Fax:469-342-6301
Practice Address - Street 1:1314 W MCDERMOTT DR
Practice Address - Street 2:STE 158
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3021
Practice Address - Country:US
Practice Address - Phone:469-342-6303
Practice Address - Fax:469-342-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2426261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH73973Medicare UPIN