Organization
ADDIS FAMILY PRACTICE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEKELE CHAMISO OLBAMO (OWNER)
(469) 835-2836
Entity
Organization
Contact information
Practice address
2135 BUCKINGHAM RD, RICHARDSON, TX 75081-5459
(469) 835-2836
Mailing address
8301 LIGHTHOUSE DR, ROWLETT, TX 75089-7882
(469) 835-2836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
03/13/2026
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