Tesfa, Ganana

Tesfa, Ganana is an individual health care provider with primary practice located at 2800 E Broad St Ste 517 , Mansfield TX 76063-6417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tesfa, Ganana can be contacted via phone (817) 592-3002.

Contact Information

Primary practice address
2800 E Broad St Ste 517 Mansfield TX 76063-6417
Phone: (817) 592-3002
Fax: (817) 549-5151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X H7663 Texas

Profile Details

NPI number 1891844577
LBN Legal business name Tesfa, Ganana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891844577 NPPES
Texas Other 89M401 BLUE CROSS BLUE SHIELD
Texas MEDICAID 083092901 BLUE CROSS BLUE SHIELD
Texas MEDICAID 119214802 BLUE CROSS BLUE SHIELD
Texas Other 130006869 BLUE CROSS BLUE SHIELD

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