Individual
HAIMANOT TEKELU LEMLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20804 BELLERIVE DR, PFLUGERVILLE, TX 78660-7923
(512) 576-4542
Mailing address
20804 BELLERIVE DR, PFLUGERVILLE, TX 78660-7923
(512) 576-4542
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
26277520
TX
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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