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Individual

ANTENEH TESFAYE ROBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 FM 1960 RD W, HOUSTON, TX 77090-3402
(281) 440-1000
Mailing address
PO BOX 5358, NORMAN, OK 73070-5358
(866) 321-8433

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J3589
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
J3589
TX

Other

Enumeration date
06/28/2006
Last updated
10/17/2012
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