ETSUB NEGUSSIE HAILESELASSIE NPI 1730745928

NPI Information

ETSUB NEGUSSIE HAILESELASSIE is a radiology and mobile clinic center in Garland, TX. ETSUB NEGUSSIE HAILESELASSIE NPI is 1730745928. The provider is registered as an organization entity type.

The provider's business location address is:

1702 ARBOR CREEK DR
GARLAND, TX
ZIP 75040-912
Phone: (469) 269-7259

The provider's authorized official is Etsub Negussie Haileselassie .
The authorized official title is Owner and has the following contact phone number (469) 269-7259.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.