Etsub Negussie Haileselassie

LBN: Etsub Negussie Haileselassie
Etsub Negussie Haileselassie is an health care organization with primary practice located at 1702 Arbor Creek Dr , Garland TX 75040-8912. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as the primary health care specialty. Etsub Negussie Haileselassie can be contacted via phone (469) 269-7259, or through Haileselassie, Etsub Negussie via phone (469) 269-7259.

Contact Information

Primary practice address
1702 Arbor Creek Dr Garland TX 75040-8912
Phone: (469) 269-7259
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haileselassie, Etsub Negussie
Phone: (469) 269-7259

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1730745928
LBN Legal business name Etsub Negussie Haileselassie
DBA Doing business as
Authorized official Haileselassie, Etsub Negussie
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2019
Last updated May 14th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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