Organization
VIABENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAHA TEDLA (OWNER)
(408) 206-0960
Entity
Organization
Contact information
Practice address
985 CRYSTAL LAKE DR, FRISCO, TX 75036-8862
(408) 206-0960
Mailing address
985 CRYSTAL LAKE DR, FRISCO, TX 75036-8862
(408) 206-0960
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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