IndividualActive
Bereket Kelela
NPI 1811767114 · Contractor · Dallas, TX
Provider details
- NPI number
- 1811767114
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
13601 Preston Rd Ste W770
Dallas, TX 75240-5471
Phone: (469) 235-5857
Approximate (ZIP-level) locationGet directions
Mailing address
13601 Preston Rd Ste W770
Dallas, TX 75240-5471
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.