Individual
BIRUH WORKENEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2340
(713) 745-0105
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91837
CA
207RN0300X
Nephrology Physician
Primary
NO565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194494409
—
TX
05
—
194494410
—
TX
Enumeration date
09/21/2006
Last updated
10/30/2020
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