Doctor Name: | FREHIWOT BEZUAYEHU |
NPI Number: | 1003181371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 0001189323 |
Business Practice Address: | 2101 W. Spring Creek Pkwy Minute Clinic Plano, TX - 75023 |
Business Phone Number: | 9728671900 |
Business Fax Number: | |
Mailing Address: | 3624 Bahama Drive, PLANO |
State: | TX |
Postal Code: | 75074 |
Phone Number: | 7037726696 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0001189323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |