Individual
MRS. EBISE ALICIA ASEKEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 MAGNOLIA TRL, DESOTO, TX 75115-1416
(972) 209-4070
Mailing address
505 MAGNOLIA TRL, DESOTO, TX 75115-1416
(972) 209-4070
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
TX
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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