Individual
DR. WONDWOSSEN GEBREAMANUEL TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 PEASE STREET, SUITE 1D, HARLINGEN, TX 78550
(956) 389-4060
Mailing address
2209 HORSESHOE CIRCLE, HARLINGEN, TX 78552
(571) 432-6314
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P7216
TX
2084N0400X
Neurology Physician
TRAINING
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313233YLLZ
MEDICARE PTAN
TX
05
—
325672901
—
TX
01
—
P7216
MEDICAL LICENSE
TX
Enumeration date
12/12/2008
Last updated
06/13/2014
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