Individual
TSEDEY ABERRA TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1121 W MAGNOLIA AVE, FORT WORTH, TX 76104-4435
(817) 454-9840
Mailing address
3217 BREWTON DR, PLANO, TX 75074-8764
(832) 724-3946
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
635473
TX
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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