Individual
BESRAT GEBREHIWOT KEBEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13015 AUDELIA RD APT 12160, DALLAS, TX 75243-3165
(214) 980-9163
Mailing address
13015 AUDELIA RD APT 12160, DALLAS, TX 75243-3165
(214) 980-9163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
952940
TX
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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