Individual
MR. NEGUSSIE AMSALE GEBRMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7610 CAMERON RD APT 2071, AUSTIN, TX 78752-2050
(956) 367-1967
Mailing address
14908 TUFF RD, MANOR, TX 78653-2217
(956) 367-1967
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
38828253
TX
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/29/2017
Last updated
05/01/2023
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