# ADDIS FAMILY PRACTICE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558720383
- **Authorized official:** BEKELE CHAMISO OLBAMO (OWNER)
- **Authorized official phone:** (469) 835-2836

## Contact information

- **Practice address:** 2135 BUCKINGHAM RD, RICHARDSON, TX 75081-5459
- **Practice address phone:** (469) 835-2836
- **Mailing address:** 8301 LIGHTHOUSE DR, ROWLETT, TX 75089-7882
- **Mailing address phone:** (469) 835-2836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 03/13/2026