Individual
DR. MOHAMMAD ETMINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1517 THOMPSON RD, RICHMOND, TX 77469-4932
(281) 344-1715
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(281) 344-1715
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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