Individual
DR. EYERUSALEM ENGIDA BAYSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3800 GAYLORD PKWY STE 910, FRISCO, TX 75034-9419
(214) 358-2300
(972) 685-4881
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R2053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2053
TEXAS MEDICAL BOARD
TX
Enumeration date
06/14/2011
Last updated
05/09/2024
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