Emnet Sisay
Infectious Disease
1325 Pennsylvania Ave Ste. 325
Fort Worth
, Texas 76104-2158
Emnet Sisay
Infectious Disease
1325 Pennsylvania Ave Ste. 325
Fort Worth
, Texas 76104-2158
(972) 484-7718
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Emnet Sisay
- Po Box 802772
- Dallas, TX
- Zip : 75380-2772
- Fax : (972) 484-7718
- Phone : (972) 484-7700
Second Address
- Emnet Sisay
- 1325 Pennsylvania Ave Ste. 325
- Fort Worth, TX
- Zip : 76104-2158
- Fax : (817) 887-9392
- Phone : (817) 887-9389
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | Q3106 | TX |
National Provider Identifier
| NPI | 1073819595 |
|---|---|
| Provider Name | Emnet Sisay |
| First Address | Dallas, TX 75380-2772 |
| Second Address | Fort Worth, TX 76104-2158 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2011 |
| Last Update Date | 21/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.