Individual provider · Type 1 NPI

Ali Ezzeddine, MD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1619766912 Active

Practice location

5323 Harry Hines Boulevard, Ut Southwestern Medical Cen
Dallas, TX 75390

Call (214) 648-3433 Map

Mailing address

2140 Medical District Drive, Apt 3014
Dallas, TX 75235

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10092780 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619766912

Ali Ezzeddine, MD's National Provider Identifier is 1619766912, issued on May 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Aug 19, 2025.