| Doctor Name: | YESHEWAGET LEGESSE |
| NPI Number: | 1487072468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 646931 |
| Business Practice Address: | 4224 Clearview Ct. Sachse, TX - 75048 |
| Business Phone Number: | 2144039861 |
| Business Fax Number: | |
| Mailing Address: | 4224 Clearview Ct, SACHSE |
| State: | TX |
| Postal Code: | 75048 |
| Phone Number: | 2144039861 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2014 |
| NPI Last Update Date: | 04/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 646931 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |