Individual provider · Type 1 NPI
Etsub Negussie Haileselassie
Body Imaging Physician · Garland, TX
NPI number
1801312947
Active
Practice location
1702 Arbor Creek Dr.
Garland, TX 75040
Mailing address
1702 Arbor Creek Dr
Garland, TX 75040-8912
Other practice locations
- 10641 Steppington Dr, Dallas, TX 75230-4676 · (469) 269-7259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 454534 (TX) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
Other body imaging physician providers in Garland
About NPI 1801312947
Etsub Negussie Haileselassie's National Provider Identifier is 1801312947, issued on Aug 21, 2017. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Garland, TX. The record was last updated on Apr 30, 2019.