Minale Desta, M.D.

NPI #1477948701 in Tyler, Texas

Provider Information

NPI Number: 1477948701
Entity Type: Individual
Name: Minale Desta, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 3, 2015
Last Updated: Apr 2, 2020

Practice Location

Address: 800 E DAWSON ST
City: Tyler
State: Texas
ZIP Code: 75701
Phone: (903) 593-8441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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