Organization
DR. ALAN ETTINGER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN ETTINGER DPM PA (DOCTOR)
(817) 738-1931
Entity
Organization
Contact information
Practice address
1001 12TH AVE STE 104, FORT WORTH, TX 76104-3928
(817) 738-1931
(817) 738-6990
Mailing address
1001 12TH AVE STE 104, FORT WORTH, TX 76104-3928
(817) 738-1931
(817) 738-6990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0469
TX
Other
Enumeration date
02/05/2008
Last updated
02/15/2008
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