Ayo, Dereje

Ayo, Dereje is an individual health care provider with primary practice located at 11803 South Fwy Ste 311 , Burleson TX 76028-7036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ayo, Dereje can be contacted via phone (817) 568-8411.

Contact Information

Primary practice address
11803 South Fwy Ste 311 Burleson TX 76028-7036
Fax: (817) 568-8414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X N0617 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X N0617 Texas

Profile Details

NPI number 1295705325
LBN Legal business name Ayo, Dereje
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295705325 NPPES
Texas Other N0617 TEXAS LICENSE

Popular Providers