Provider Demographics
NPI:1164024337
Name:DOCTORS WITHIN REACH PLLC
Entity Type:Organization
Organization Name:DOCTORS WITHIN REACH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEFANIT
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRETSADIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-432-9118
Mailing Address - Street 1:190 E STACY RD STE 306
Mailing Address - Street 2:#139
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-8738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4645 AVON LN STE 215
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1614
Practice Address - Country:US
Practice Address - Phone:404-939-3752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty