Individual
DR. MEZGEBE BERHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 WORTH ST, 710, DALLAS, TX 75246-2029
(214) 823-2533
(214) 824-8679
Mailing address
3409 WORTH ST, 710, DALLAS, TX 75246-2029
(214) 823-2533
(214) 824-8679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M1510
TX
207RI0200X
Infectious Disease Physician
Primary
M1510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143000
AETNA
TX
05
—
177738501
—
TX
01
—
8J3801
BLUE CROSS BLUE SHIELD
TX
01
—
M1510
STATE LICENSE
TX
01
—
MD1510
WORKERS COMP
TX
Enumeration date
04/20/2006
Last updated
10/12/2023
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