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Individual

DR. ALI EZZEDDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5323 HARRY HINES BOULEVARD, UT SOUTHWESTERN MEDICAL CEN, DALLAS, TX 75390
(214) 648-3433
Mailing address
2140 MEDICAL DISTRICT DRIVE, APT 3014, DALLAS, TX 75235
(682) 443-3818

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10092780
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/02/2025
Last updated
08/19/2025
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