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Individual

DR. EDOMIAS DESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13219 DOTSON RD STE 210, HOUSTON, TX 77070-4308
(281) 955-0338
(281) 469-0741
Mailing address
13219 DOTSON RD STE 210, HOUSTON, TX 77070-4308
(281) 955-0338
(281) 469-0741

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2020-0384
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
W3248
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/28/2017
Last updated
05/08/2026
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