Individual
GIRMACHEW HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(855) 984-5121
Mailing address
3512 COOKE LN, MELISSA, TX 75454-1801
(773) 681-1505
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1025793
TX
Other
Enumeration date
04/19/2019
Last updated
09/17/2025
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