Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ebenezer Zentah Fozao, MD, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861999021

Dr. Ebenezer Zentah Fozao, MD, DO is an Emergency Medicine in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Northeast Texas Emergency Physicians PLLC, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 606-4262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2201 Hempstead Tpke, East Meadow, NY 11554-1859 — (516) 296-2899

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T6568 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861999021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DO
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeast Texas Emergency Physicians Pllc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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