Physician Compare National (NPI:1720163751)

HEALTHCARE PROVIDER: PEDRO YEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720163751
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466592118
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091210000685
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YEN
	Individual professional last name
Provider First Name	PEDRO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1900 OATES DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 138
	Group Practice or individual's line 2 address
City	MESQUITE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751506802
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y