Provider Demographics
NPI:1770579203
Name:DAO, YEN K (DO)
Entity type:Individual
Prefix:DR
First Name:YEN
Middle Name:K
Last Name:DAO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1601 RIO GRANDE ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1137
Mailing Address - Country:US
Mailing Address - Phone:512-324-8960
Mailing Address - Fax:
Practice Address - Street 1:1512 TOWN CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7678
Practice Address - Country:US
Practice Address - Phone:512-324-4875
Practice Address - Fax:512-324-4876
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2013-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166192805Medicaid
TX166192804Medicaid
TXTXB117815Medicare PIN
TXTXB117246Medicare PIN
TX166192805Medicaid