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Individual
ERNST ETIENNE
Active
Individual
ERNST ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA03422
TX
363A00000X
Physician Assistant
Primary
PA9116247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185010901
—
TX
05
—
185010902
—
TX
05
—
185010903
—
TX
01
—
8Y1362
BLUE CROSS BLUE SHIELD
TX
01
—
P00387792
RAILROAD MEDICARE
TX
01
—
P01074751
RR MEDICARE
TX
01
—
P01254101
MEDICARE RR
TX
Enumeration date
12/21/2006
Last updated
12/20/2022
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