ETSUB NEGUSSIE HAILESELASSIE

GARLAND, TX
NPI1801312947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085B0100X Radiology, Body Imaging
(Licence: TX  454534)
Enumeration Date2017-08-21
Last Update Date2019-04-30
Business Address
ETSUB NEGUSSIE HAILESELASSIE
1702 ARBOR CREEK DR.
GARLAND, TX 75040
Phone number: 469-269-7259
Mailing Address
ETSUB NEGUSSIE HAILESELASSIE
1702 ARBOR CREEK DR
GARLAND, TX 75040-8912
Phone number: