Individual
EYOB MELESSE TAFESSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
3901 W 15TH ST, PLANO, TX 75075-7738
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
S9070
TX
390200000X
Student in an Organized Health Care Education/Training Program
125070125
IL
Other
Enumeration date
05/22/2017
Last updated
01/08/2021
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