institution
Michael E Esedebe Mdpa
Clinic/Center in Dallas, Texas
NPI 1740343177

Michael E Esedebe Mdpa is a Clinic/Center based in Dallas, TX. Michael E Esedebe Mdpa practices in Dallas, TX. The NPI Number for Michael E Esedebe Mdpa is 1740343177 and holds a License No. L0155 (Texas).

The current practice location address for Michael E Esedebe Mdpa is 11617 N Central Expy, Dallas, TX and can be reached out via phone at 214-553-1516 and via fax at 214-553-1519.

Location: 11617 N Central Expy, Dallas, TX, 75243-3800
institution
Provider Profile Details
NPI Number
1740343177
Provider Name
Michael E Esedebe Mdpa
Credential
Provider Entity Type
Organization
Address
11617 N Central Expy, Dallas, TX, 75243-3800
Phone Number
214-553-1516
Fax Number
214-553-1519
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047474404 05 TX
institution
Provider Business Practice Location Address Details
Address
11617 N Central Expy
City
State
Zip
75243-3800
Phone Number
214-553-1516
Fax Number
214-553-1519
person
Provider Business Mailing Address Details
Address
11617 N Central Expy
City
State
Zip
75243-3800
Phone Number
214-553-1516
Fax Number
214-553-1519
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
L0155 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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