Individual
DR. EHIREME ANTHONY IBAZEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 N STEMMONS FWY, SUITE 151, DALLAS, TX 75207-2113
(214) 905-0595
Mailing address
2300 MCDERMOTT RD, SUITE 200-349, PLANO, TX 75025-7016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C156633
CA
2084P0800X
Psychiatry Physician
Primary
K9571
TX
Other
Enumeration date
06/13/2007
Last updated
11/18/2020
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