Individual
MEHARI GEBREYOHANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M1696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1775082-01
—
TX
Enumeration date
10/26/2006
Last updated
08/01/2012
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