James Pierre D'etienne
Emergency Physician
3500 Gaston Ave
Dallas
, Texas 75246-2017
James Pierre D'etienne
Emergency Physician
3500 Gaston Ave
Dallas
, Texas 75246-2017
(214) 712-2487
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- James Pierre D'etienne
- Po Box 41633
- Philadelphia, PA
- Zip : 19101-1633
- Fax : (214) 712-2487
- Phone : (800) 355-0808
Second Address
- James Pierre D'etienne
- 3500 Gaston Ave
- Dallas, TX
- Zip : 75246-2017
- Fax : (214) 712-2487
- Phone : (214) 820-2505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | K6455 | TX |
National Provider Identifier
| NPI | 1003834714 |
|---|---|
| Provider Name | James Pierre D'etienne |
| First Address | Philadelphia, PA 19101-1633 |
| Second Address | Dallas, TX 75246-2017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 29/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H12818 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.