Individual
ABRHA KAHSAAY HAREGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 PERFORMANCE DR APT 455, RICHARDSON, TX 75082-4541
(512) 566-9881
(512) 358-4017
Mailing address
2301 PERFORMANCE DR APT 455, RICHARDSON, TX 75082-4541
(512) 566-9881
(512) 358-4017
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
TX
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043968738
TRANSPORTATION
TX
05
—
1043968738
—
TX
01
—
88-2045428
TRANSPORTATION
TX
Enumeration date
04/10/2023
Last updated
03/19/2024
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