Hagos Tekeste is a Specialist in Amarillo, Texas. Hagos Tekeste practices all healthcare services and medical treatments related to Specialist. The NPI Number for Hagos Tekeste is 1285742882. The last update date is 2017-12-12.
Hagos Tekeste's current location address is 1901 Medi Park Dr Ste 1055, Amarillo, Texas. You can contact this provider via phone number 8063562260 and fax number 8063562268. The mailing address for Hagos Tekeste is 1901 Medi Park Dr Ste 1055, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hagos Tekeste |
|---|---|
| Address | 1901 Medi Park Dr Ste 1055, Amarillo, Texas |
| Phone Number | 8063562260 |
| Fax Number | 8063562268 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285742882 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2017-12-12 |
Provider Mailing Address Detail
| Address | 1901 Medi Park Dr Ste 1055 |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791062168 |
| Phone Number | 8063562260 |
| Fax Number | 8063562268 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G6238 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100003800A | OK | -- | |
| 130538502 | TX | -- | |
| 000U2314 | NM | -- | |
| 00JZ71 | TX | ALL PRIVATE INSURANCE |
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What is the unique 10-digit identification code issued to Hagos Tekeste by the Centers for Medicare & Medicaid Services?
The Hagos Tekeste has been assigned the NPI (National Provider Identifier) 1285742882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Hagos Tekeste?
The Hagos Tekeste is situated at 1901 Medi Park Dr Ste 1055, in the city of Amarillo, state of TX, with the zip code 791062168.
What is Hagos Tekeste's area of expertise and its corresponding taxonomy classification?
The Hagos Tekeste's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1285742882 to Hagos Tekeste?
The Hagos Tekeste received its 1285742882 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information related to Hagos Tekeste most recently updated or refreshed?
The details pertaining to the Hagos Tekeste, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-12-12.
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