Provider Demographics
NPI:1821706037
Name:GHIRMAY, DANIEL FESHATSION
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FESHATSION
Last Name:GHIRMAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5949 SHERRY LN STE 1150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-8066
Mailing Address - Country:US
Mailing Address - Phone:469-226-4287
Mailing Address - Fax:
Practice Address - Street 1:5949 SHERRY LN STE 1150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-8066
Practice Address - Country:US
Practice Address - Phone:469-226-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16514363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant