ETSUB NEGUSSIE HAILESELASSIE
NPI 1801312947
Radiology - Body Imaging in Garland, TX

Active since August 21, 2017
1702 ARBOR CREEK DR., GARLAND, TX 75040(469) 269-7259 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2019, Apr 24, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Etsub Negussie Haileselassie NPPES

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

ETSUB NEGUSSIE HAILESELASSIE (NPI 1801312947) is an individual body imaging provider in Garland, Texas, licensed in Texas (454534) and active in the NPI registry since August 2017. He maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1801312947
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameETSUB NEGUSSIE HAILESELASSIE
Location Address1702 ARBOR CREEK DR.Garland, TX 75040
Mailing Address1702 Arbor Creek DrGarland, TX 75040-8912
Sole ProprietorYes
Enumeration DateAugust 21, 2017
Last NPPES UpdateApril 30, 20194 updates tracked since enumeration
NPI 1801312947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License Licensed in TX · 454534
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
1702 ARBOR CREEK DR., Garland, TX 75040

Secondary Practice Location 1

Location 110641 Steppington DrDallas, TX 75230-4676 · Phone (469) 269-7259

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 Haileselassie's NPI number?

The NPI number for Etsub Haileselassie is 1801312947. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Etsub Haileselassie located?

Etsub Haileselassie practices at 1702 Arbor Creek Dr., Garland, TX 75040. The listed phone number is (469) 269-7259.

What is Etsub Haileselassie's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Etsub Haileselassie was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.