Individual
KIRUBEL GEBRESENBET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2910 BROADWAY BLVD STE 212, GARLAND, TX 75041-3794
(619) 342-6199
Mailing address
2080 GLENCOE DR, ROCKWALL, TX 75087-2400
(972) 435-6096
(972) 521-6953
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2388
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
T62-2016
TEXAS STATE BOARD OF PODIATRIC MEDICAL EXAMINER
TX
Enumeration date
06/23/2016
Last updated
04/02/2026
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