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Individual
DR. ETHAN ALLEN NATELSON
Active
Individual
DR. ETHAN ALLEN NATELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
D9036
TX
207RH0003X
Hematology & Oncology Physician
D9036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041934303
—
TX
05
—
041934304
—
TX
01
—
8V4457
BLUE CROSS BLUE SHIELD
TX
01
—
DE4842
RAILROAD MEDICARE
TX
01
—
P01265010
RR MEDICARE
TX
Enumeration date
02/13/2006
Last updated
03/03/2016
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