Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ESTIFANOS ABEBE
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · ROUND ROCK, TX
Registration Details
- NPI Number
- 1417403379
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2016 (9.6400330354597 yrs)
- Last Updated
- Nov 3, 2016
- License
-
141177 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1826 RACHEL LNROUND ROCK, TX, 786647455Browse TX providers · Browse ZIP 78664
- Phone
- 5122463556
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.