Jerusalem Desalgn Derbew

Driver · Dallas, TX

Individual Active NPI

NPI number 1235982778

Practice location

12225 Greenville Ave Ste 703
Dallas, TX 75243-9362
Phone
(469) 748-7775

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NPI record

NPI
1235982778
Entity type
Individual (Type 1)
Enumeration date
April 5, 2024
Last updated
May 24, 2024
Certified
May 24, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 99-1864371 TX

Mailing address

8250 Meadow Rd # 6314
Dallas, TX 75231-3745
Phone
(214) 791-0536

Other practice locations (1)

  • 8250 Meadow Rd # 6314, Dallas, TX 75231-3745 · (469) 748-7775

About Jerusalem Derbew

Jerusalem Desalgn Derbew is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 12225 Greenville Ave Ste 703, Dallas, TX 75243-9362. The NPI number 1235982778 was assigned on April 5, 2024 and the record was last updated on May 24, 2024.

Jerusalem Derbew lists a license in the registry: #99-1864371 (TX) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerusalem Desalgn Derbew?

The NPI number is 1235982778.

What is the phone number of Jerusalem Derbew?

The phone number listed for the practice location is (469) 748-7775.

Where is Jerusalem Derbew located?

12225 Greenville Ave Ste 703, Dallas, TX 75243-9362.

What is the taxonomy code for Jerusalem Derbew?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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