ETSUB N. HAILESELASSIE – NPI #1801312947
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

ETSUB HAILESELASSIE is a radiologist located in GARLAND, TX. NPPES has assigned the NPI number 1801312947 to ETSUB HAILESELASSIE on August 21, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

The NPI profile was previously updated about 7 years ago on Apr 30, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETSUB HAILESELASSIE below.

NPI Profile for
ETSUB N. HAILESELASSIE

NPI Number
1801312947
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ETSUB N. HAILESELASSIE
Primary location
1702 ARBOR CREEK DR.
GARLAND, TX 75040
Phone: (469) 269-7259 Fax:
1 Other location(s):
10641 Steppington Dr
Dallas, TX 75230-4676
Phone: (469) 269-7259
Mailing address
1702 ARBOR CREEK DR
GARLAND, TX 75040-8912
Phone: Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085B0100X
- Radiology / Body Imaging (Primary)
TX 454534

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.