Individual
DR. HABTE ARAGAW YIMER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 SAUNDERS AVE STE 200, TYLER, TX 75702-7524
(903) 579-9800
(903) 592-5988
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
48089
MN
207RH0003X
Hematology & Oncology Physician
Primary
N1232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199340402
—
TX
05
—
754635100
—
MN
01
—
P00827027
RAILROAD MEDICARE
TX
Enumeration date
02/07/2006
Last updated
07/08/2023
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