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Individual
DR. TESFAMARIAM MEBRAHTOM TEDLA
Active
Individual
DR. TESFAMARIAM MEBRAHTOM TEDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101241974
VA
207Q00000X
Family Medicine Physician
D0066250
MD
207Q00000X
Family Medicine Physician
Primary
N4791
TX
Other
Enumeration date
07/19/2007
Last updated
05/29/2016
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