Individual
YORDANOS AZENE HABTEGEBRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(682) 509-6200
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(214) 217-1911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1212
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R1212
TX
207RP1001X
Pulmonary Disease Physician
Primary
R1212
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2011
Last updated
05/16/2023
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