# ERNST ETIENNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013071117
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA03422 | TX | — |
| 363A00000X | Physician Assistant | PA9116247 | FL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 12/20/2022

## 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 |