NPI age
7 years
Enumerated 2019-05-14
● Active Type 2 · Organization
Etsub Negussie Haileselassie
Etsub Negussie Haileselassie is 1 of 139 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haileselassie
Owner
Last NPPES update
2019-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 139 active clinic/center providers in Texas.
NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1702 Arbor Creek Dr
Garland, TX 750408912
Mailing address
1702 Arbor Creek Dr
Garland, TX 750408912
Authorized official
Etsub Negussie Haileselassie
Owner
📞 4692697259
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ETSUB NEGUSSIE HAILESELASSIE
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.