Kidist Tsegaye Bishaw
NPI #1083226971 in Port Arthur, Texas
Provider Information
- NPI Number
- 1083226971
- Entity Type
- Individual
- Name
- Kidist Tsegaye Bishaw
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 3700 HIGHWAY 365
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77642-7709
- Phone
- (409) 724-1914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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