Individual
YOSAFE WAKWAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH ST STE 250, DALLAS, TX 75246-2073
(214) 820-6856
Mailing address
3410 WORTH ST STE 250, DALLAS, TX 75246-2073
(214) 820-6856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58748
CO
207RP1001X
Pulmonary Disease Physician
Primary
S8671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205275336
—
CO
Enumeration date
06/21/2013
Last updated
05/13/2021
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