NPI 1023577418

Yordanos Haile Tesfaye, PAC

Practitioner Physician Assistant Temple, TX

Practice location

Address: 2401 S 31st St, Temple, TX 76508-2915
Phone: (254) 724-2111
Mailing address: PO Box 844658, Dallas, TX 75284-4658

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA12725 (TX)

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Registry record

NPI: 1023577418
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2019
Record last updated: 23 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.