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Minale Desta, MD
Student in an Organized Health Care Education/Training Program in Tyler, Texas
NPI 1477948701

Minale Desta is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Minale Desta practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Minale Desta is 1477948701 and holds a License No. R6380 (Texas).

The current practice location address for Minale Desta is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-593-8441.

Location: 800 E Dawson St, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477948701
Provider Name
Minale Desta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 E Dawson St, Tyler, TX, 75284-6098
Phone Number
903-593-8441
Fax Number
Provider Enumeration Date
04/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8MB039 01 TX BCBS
898895 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-593-8441
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-593-8441
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
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Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R6380 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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