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Contact Information

ERNST ETIENNE, PA
6565 FANNIN ST # B452
HOUSTON, TX77030-2703
 Phone: 713-441-3620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ERNST ETIENNE · (Male)

NPI Number 1013071117
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/21/2006
Last updated 06/26/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA03422
  • TX Medicaid 185010901
  • TX Medicaid 185010902
  • TX Medicaid 185010903
  • TX Other 8Y1362 BLUE CROSS BLUE SHIELD
  • TX Other P01254101 MEDICARE RR
  • TX Other P00387792 RAILROAD MEDICARE
  • TX Other P01074751 RR MEDICARE
Hospital affiliation(s)
  • METHODIST HOSPITALTHE - (Acute Care)
    6565 FANNIN
    HOUSTON, TX 77030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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