Ettinger, Gena Marie

Ettinger, Gena Marie is an individual health care provider with primary practice located at 505 S Nolen Dr Ste B , Southlake TX 76092-9167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ettinger, Gena Marie can be contacted via phone (817) 410-7777.

Contact Information

Primary practice address
505 S Nolen Dr Ste B Southlake TX 76092-9167
Phone: (817) 410-7777
Fax: (817) 410-9906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08076 Texas

Profile Details

NPI number 1578815304
LBN Legal business name Ettinger, Gena Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Jul 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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