Organization
NORTHERN STAR RIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDROS KIROS BERIHU (MANAGER)
(507) 329-0167
Entity
Organization
Contact information
Practice address
11911 GREENVILLE AVE APT 2119, DALLAS, TX 75243-3665
(507) 329-0167
Mailing address
11911 GREENVILLE AVE APT 2119, DALLAS, TX 75243-3665
(507) 329-0167
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
10/30/2023
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