Individual
DR. ELLENI WOLDESENBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3132 MATLOCK RD, SUITE #309, ARLINGTON, TX 76015-2910
(817) 417-0260
(817) 417-4834
Mailing address
2718 SHADOW WOOD DR, ARLINGTON, TX 76006-2724
(817) 608-0625
(817) 810-9815
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L0707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R0520
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/26/2006
Last updated
10/26/2007
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