Provider Demographics
NPI:1396372116
Name:POE, YIN NYEIN
Entity Type:Individual
Prefix:
First Name:YIN
Middle Name:NYEIN
Last Name:POE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 W PARK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2034
Mailing Address - Country:US
Mailing Address - Phone:469-800-1050
Mailing Address - Fax:469-800-1060
Practice Address - Street 1:2005 W PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2034
Practice Address - Country:US
Practice Address - Phone:469-800-1050
Practice Address - Fax:469-800-1060
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU7493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine