NPI 1801622477

Elias Tadesse

Practitioner Private Vehicle Allen, TX

Practice location

Address: 1614 Tulare Dr, Allen, TX 75002-6467
Phone: (214) 684-6754

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1801622477
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2024
Record last updated: 11 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.