Tekeste, Hagos
Tekeste, Hagos is an sole proprietor health care provider with primary practice located at 1901 Medi Park Dr Ste 1055 , Amarillo TX 79106-2168. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Tekeste, Hagos can be contacted via phone (806) 356-2260.Contact Information
Primary practice address
1901 Medi Park Dr Ste 1055
Amarillo TX 79106-2168
Phone: (806) 356-2260
Fax: (806) 356-2268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G6238 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G6238 | Texas |
Profile Details
| NPI number | 1285742882 |
|---|---|
| LBN Legal business name | Tekeste, Hagos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 12th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285742882 | NPPES |
| Oklahoma | MEDICAID | 100003800A | |
| Oklahoma | MEDICAID | 130538502 | |
| Oklahoma | MEDICAID | 000U2314 | |
| Oklahoma | Other | 00JZ71 |
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