Individual
DR. GANANA TESFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 517, MANSFIELD, TX 76063-6417
(817) 592-3002
(817) 549-5151
Mailing address
2800 E BROAD ST STE 517, MANSFIELD, TX 76063-6417
(817) 592-3360
(817) 549-5151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
2084N0400X
Neurology Physician
H7663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6R7554
GROUP MEDICARE PTAN
TX
01
—
8XC232
BCBS
TX
Enumeration date
01/10/2007
Last updated
06/27/2025
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