Organization
ETHIOPIAN COMMUNITY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH SISAY MD (MEDICAL DIRECTOR)
(214) 377-9045
Entity
Organization
Contact information
Practice address
300 S COTTONWOOD DR STE B, RICHARDSON, TX 75080-5700
(214) 377-9045
Mailing address
300 S COTTONWOOD DR STE B, RICHARDSON, TX 75080-5700
(214) 377-9045
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
04/22/2026
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