Individual
MAHIDER GEDAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Mailing address
1060 COUNTY ROAD 3900, HAWKINS, TX 75765-4035
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1244504
TX
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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