Individual
DR. MOHAMMAD ETMINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L2241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149358702
—
TX
05
—
149358703
—
TX
05
—
149358704
—
TX
05
—
149358705
—
TX
05
—
149358706
—
TX
01
—
182635700
US DEPT OF LABOR
TX
01
—
3471057
AETNA HMO
TX
01
—
7095249
AETNA PPO
TX
01
—
8M3060
BLUE CROSS AND BLUE SHIEL
TX
01
—
P01026731
RAILROAD MEDICARE
TX
Enumeration date
06/22/2005
Last updated
06/28/2012
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