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Individual

BERHANU TESHAGER ALAZE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15101 FM 1825 PFLUGERVILLE TX 78660, PFLUGERVILLE, TX 78660-6047
(404) 566-0966
Mailing address
1107 WARM SPRINGS DR, PFLUGERVILLE, TX 78660-5983
(404) 566-0966

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TX

Other

Enumeration date
04/14/2021
Last updated
09/11/2023
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