Individual
DEREJE GEBRESELASSIE DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(281) 540-7700
Mailing address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P2635
TX
208M00000X
Hospitalist Physician
2017000620
MO
208M00000X
Hospitalist Physician
Primary
P2635
TX
Other
Enumeration date
07/27/2009
Last updated
09/16/2024
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