Organization
ETSUB NEGUSSIE HAILESELASSIE
Active
Other names
ETSUB NEGUSSIE HAILESELASSIE
Organization subpart
No
Provider details
NPI number
Authorized official
ETSUB NEGUSSIE HAILESELASSIE (OWNER)
(469) 269-7259
Entity
Organization
Contact information
Practice address
1702 ARBOR CREEK DR, GARLAND, TX 75040-8912
(469) 269-7259
Mailing address
1702 ARBOR CREEK DR, GARLAND, TX 75040-8912
(469) 269-7259
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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