Organization
ETAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR TOMAJIAN MD (AUTHORIZED OFFICIAL)
(713) 530-3899
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
7956 VAUGHN RD STE 165, MONTGOMERY, AL 36116-6819
(334) 513-1173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
08/08/2023
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