Individual
YESHEWAGET LEGESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 NORTHWEST HWY, GARLAND, TX 75041-5835
(469) 936-0541
(877) 708-4417
Mailing address
1205 NORTHWEST HWY, GARLAND, TX 75041-5835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
646931
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP125453
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
646931
TX
364SG0600X
Gerontology Clinical Nurse Specialist
646931
TX
Other
Enumeration date
04/07/2014
Last updated
05/26/2026
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