Individual provider · Type 1 NPI
Ezana Kidane
Driver · Dallas, TX
NPI number
1639954944
Active
Practice location
5400 Preston Oaks Rd
Dallas, TX 75254-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 47512838 (TX) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
3 other providers at this address
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About NPI 1639954944
Ezana Kidane's National Provider Identifier is 1639954944, issued on Aug 28, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 28, 2023.