Individual
ANDE TEWOLDE TESFAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
13419 SARENTO VLG, SUGAR LAND, TX 77498-2270
(415) 568-8230
Mailing address
13419 SARENTO VLG # 314, SUGAR LAND, TX 77498-2270
(415) 568-8230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP139951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
TX
Enumeration date
01/16/2019
Last updated
05/15/2026
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