Provider Demographics
NPI:1639127343
Name:ZEBAIDA, YEHESKEL (MD)
Entity Type:Individual
Prefix:
First Name:YEHESKEL
Middle Name:
Last Name:ZEBAIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 SHY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4842
Mailing Address - Country:US
Mailing Address - Phone:972-294-5288
Mailing Address - Fax:
Practice Address - Street 1:6000 SHY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4842
Practice Address - Country:US
Practice Address - Phone:972-294-5288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4370208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133500207Medicaid
TX133500208Medicaid
TX133500203Medicaid
TX133500203Medicaid
TX824073Medicare ID - Type Unspecified