Individual
ETHAN J. PODET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 ST JOSEPH PKWY STE 1605, HOUSTON, TX 77002-8232
(713) 652-3025
(713) 652-9004
Mailing address
1315 ST JOSEPH PKWY STE 1605, HOUSTON, TX 77002-8232
(713) 652-3025
(713) 652-9004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G3055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098272001
—
TX
05
—
098272002
—
TX
Enumeration date
06/22/2006
Last updated
07/09/2007
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