Desta, Dereje Gebreselassie
Desta, Dereje Gebreselassie is an sole proprietor health care provider with primary practice located at 18951 N Memorial Dr , Humble TX 77338-4217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Desta, Dereje Gebreselassie can be contacted via phone (281) 540-7700.Contact Information
Primary practice address
18951 N Memorial Dr
Humble TX 77338-4217
Phone: (281) 540-7700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2017000620 | Missouri |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | P2635 | Texas |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P2635 | Texas |
Profile Details
NPI number | 1427289321 |
---|---|
LBN Legal business name | Desta, Dereje Gebreselassie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 27th, 2009 |
Last updated | Dec 11th, 2019 - about 6 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.
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