Provider Demographics
NPI:1891137949
Name:TESFAYE, GETNET TAYE (MD)
Entity Type:Individual
Prefix:DR
First Name:GETNET
Middle Name:TAYE
Last Name:TESFAYE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3600 GASTON AVENUE WADLEY TOWER SUITE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1905
Mailing Address - Country:US
Mailing Address - Phone:214-821-1177
Mailing Address - Fax:469-800-7980
Practice Address - Street 1:3600 GASTON AVENUE WADLEY TOWER SUITE 550
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1905
Practice Address - Country:US
Practice Address - Phone:214-821-1177
Practice Address - Fax:469-800-7980
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine