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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETSUB NEGUSSIE HAILESELASSIE
NPI 1730745928
Clinic/Center - Radiology, Mobile in Garland, TX

Active since May 14, 2019
301 BENT CREEK DR, GARLAND, TX 75040(469) 269-7259 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, May 14, 2019 (2 updates tracked since 2019).

About Etsub Negussie Haileselassie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETSUB NEGUSSIE HAILESELASSIE (NPI 1730745928) is a healthcare organization registered as a radiology, mobile in Garland, Texas and active in the NPI registry since May 2019. The organization lists Etsub Negussie Haileselassie, Owner, as its authorized official.

NPPES Registry Identity

NPI1730745928
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NameETSUB NEGUSSIE HAILESELASSIE
Location Address301 BENT CREEK DRGarland, TX 75040-1137
Mailing Address301 Bent Creek DrGarland, TX 75040-1137 · (469) 269-7259
Phone(469) 269-7259
Organization SubpartNo
Authorized OfficialEtsub Negussie HaileselassieOwner · (469) 269-7259
Enumeration DateMay 14, 2019
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1730745928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
301 BENT CREEK DR, Garland, TX 75040
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Other Names 1

Doing Business AsEtsub Negussie Haileselassie

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etsub Negussie Haileselassie's NPI number?

The NPI number for Etsub Negussie Haileselassie is 1730745928. It was assigned to this organization in the NPPES registry on May 14, 2019.

Where is Etsub Negussie Haileselassie located?

Etsub Negussie Haileselassie is located at 301 Bent Creek Dr, Garland, TX 75040. The listed phone number is (469) 269-7259.

What is Etsub Negussie Haileselassie's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Etsub Negussie Haileselassie was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.