Provider Demographics
NPI:1922180819
Name:YEO, IRENE MUI CHOO (DO)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:MUI CHOO
Last Name:YEO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 ANTIOCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6632
Mailing Address - Country:US
Mailing Address - Phone:972-722-0845
Mailing Address - Fax:
Practice Address - Street 1:1143 S BUCKNER BLVD SUITE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217
Practice Address - Country:US
Practice Address - Phone:214-398-8950
Practice Address - Fax:214-398-8952
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine