MEDICARE: MR. HAMELMAL BERHANU ASSEFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver	43461293	TX
2	172A00000X	Driver

General Provider Information

NPI Number	:	1023858370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HAMELMAL BERHANU ASSEFA

Provider Business Mailing Address
First Line	:	1621 S JUPITER RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75042-7792
Country	:	US
Telephone Number	:	469-867-4279
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 BARNES BRIDGE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-2123
Country	:	US
Telephone Number	:	214-580-6184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/24/2024

Similar Medicare Providers

1326102138 — BOB LEE PANSICK MD
Practice Location Address:

12200 PARK CENTRAL DR STE 180
DALLAS, TX
75251-2123

Practice Phone: 214-320-8785
Practice Fax: 214-320-8983

1124551163 — DR. ANDREW DAVID PANSICK M.D.
Practice Location Address:

12200 PARK CENTRAL DR STE 180
DALLAS, TX
75251-2123

Practice Phone: 214-320-8785
Practice Fax:

1992356257 — JACQUELINE DENISE COVELLI FNP-C
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-2123

Practice Phone: 214-645-4673
Practice Fax:

1053935924 — SARAH GUIGNEAUX M.S., CCC-SLP
Practice Location Address:

6024 GENTLE KNOLL LN
DALLAS, TX
75248-2123

Practice Phone: 972-533-1157
Practice Fax:

1164151833 — PATRICIA BOWERS CHERRY LPC
Practice Location Address:

9936 WINDLAKE CIR
DALLAS, TX
75238-2123

Practice Phone: 121-450-3856
Practice Fax:

1538924709 — BOB L. PANSICK, MD, FAAO, PA
Practice Location Address:

12200 PARK CENTRAL DR STE 180
DALLAS, TX
75251-2123

Practice Phone: 214-320-8785
Practice Fax: 214-320-8983

Directions to “ MR. HAMELMAL BERHANU ASSEFA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.