Individual
DR. ETHAN ALLEN NATELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1001, HOUSTON, TX 77030-2717
(713) 441-5154
Mailing address
8707 WATEKA DR, HOUSTON, TX 77074-4015
(713) 771-8844
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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