Provider Demographics
NPI:1518783547
Name:HAILEMARIAM, SOLOMON HABIT I
Entity type:Individual
Prefix:MR
First Name:SOLOMON
Middle Name:HABIT
Last Name:HAILEMARIAM
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 ALDER DR APT 3619
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4023
Mailing Address - Country:US
Mailing Address - Phone:737-931-7035
Mailing Address - Fax:
Practice Address - Street 1:6220 ALDER DR APT 3619
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4023
Practice Address - Country:US
Practice Address - Phone:737-931-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)