Individual
ABEBA ASEFA ABEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(317) 513-6064
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1002195
TX
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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