Individual
DR. JOHN E. ETLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 235, SAN ANTONIO, TX 78212-5609
(210) 229-9290
(210) 229-9494
Mailing address
1303 MCCULLOUGH AVE, SUITE 235, SAN ANTONIO, TX 78212-5609
(210) 229-9290
(210) 229-9494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E4323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034840101
—
TX
01
—
742116294
TAX IDENTIFIER NUMBER
TX
Enumeration date
07/01/2006
Last updated
07/09/2007
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