Mark Raymond Ettinger MD

NPI 1609078070 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1609078070
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/07/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
5201 HARRY HINES BLVD
HOUSE STAFF & GME
DALLAS TX, 75235-7708, US
Phone (214) 590-8058
Fax
Business Location
4100 INTERNATIONAL PLAZA
600
FORT WORTH TX, 76109-4823, US
Phone (817) 529-1923
Fax (817) 877-0350
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mark Raymond Ettinger MD NPI is 1609078070, taxonomy code is 390200000X Mark Raymond Ettinger MD physically located at 5201 Harry Hines Blvd, Dallas TX, 75235-7708. NPI Number Mark Raymond Ettinger MD has the Individual type.

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1609078070 NPI number is provided on an as is basis without warranty of any kind. 1609078070 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Raymond Ettinger MD are for informational purposes only.