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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETSUB NEGUSSIE HAILESELASSIE

Active Sole Proprietor

ETSUB NEGUSSIE HAILESELASSIE is a Body Imaging healthcare provider located in GARLAND, Texas. NPI 1801312947 is currently active in the NPPES registry. Verify at CMS.

Body Imaging · GARLAND, TX

Registration Details

NPI Number
1801312947
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2017 (8.9861101855162 yrs)
Last Updated
Apr 30, 2019
License
454534 (TX)
Sole Proprietor
Yes

Practice Information

Address
1702 ARBOR CREEK DR.
GARLAND, TX, 75040
Browse TX providers · Browse ZIP 75040
Phone
4692697259
Primary Specialty
Body Imaging
2085B0100X

Other Body Imaging Providers in GARLAND, TX

Name Credential NPI
FESSEHAYE YEHDEGO 1659150217
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.