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Individual

TEWODROS KASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3201 ESPERANZA CROSSING, AUSTIN, TX 78758
(512) 317-4357
Mailing address
3201 ESPERANZA CROSSING, AUSTIN, TX 78758
(512) 317-4357

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/05/2017
Last updated
04/29/2026
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