Individual
DR. ISRAEL TEGEGNE HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1353 N TRAVIS ST, LIBERTY, TX 77575-3549
(936) 336-7316
Mailing address
1353 N TRAVIS ST, LIBERTY, TX 77575-3549
(936) 336-7316
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P7772
TX
207R00000X
Internal Medicine Physician
2010017820
MO
207R00000X
Internal Medicine Physician
Primary
P7772
TX
Other
Enumeration date
06/08/2010
Last updated
06/19/2024
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