Individual
YASSER ETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008013989
MO
207R00000X
Internal Medicine Physician
MD436964
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S3900
TX
207RP1001X
Pulmonary Disease Physician
35.124210
OH
207RP1001X
Pulmonary Disease Physician
Primary
S3900
TX
208M00000X
Hospitalist Physician
2008013989
MO
208M00000X
Hospitalist Physician
MD436964
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107375
—
OH
05
—
1024117880001
—
PA
05
—
3810027770
—
WV
01
—
P01455055
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
05/10/2007
Last updated
07/19/2022
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