GREGORY C ETIENNE (NPI# 1497384168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497384168 |
| Entity Type | Individual |
| Full Name | GREGORY C ETIENNE |
| Credential | PA |
| Practice Address |
7400 N 4th St Mcallen TX 78504-1859 |
| Mailing Address |
Po Box 2711 Edinburg TX 78540-2711 |
| Practice Telephone | 9562128416 |
| Mailing Telephone | 9562128416 |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2020-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
154 | PR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7400 N 4TH ST |
| City | MCALLEN |
| State | TX |
| Zip Code | 78504-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966483 | Miguel Angel Dorantes Hernandez | Pharmacist | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-09-15 |
| 1528688686 | Islande Etienne | Nurse Practitioner | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
| 1881206472 | Guardian Home Care LLC | Home Health | 612 W Nolana Ave Suite 570-b, Mcallen, TX 78504 | 2020-08-17 |
| 1457981276 | El Jardin Provider Services, LLC. | Technician | 711 W Nolana Ave Ste 103l, Mcallen, TX 78504 | 2020-01-21 |
| 1851852073 | Efrain Rodriguez | Student in an Organized Health Care Education/Training Program | Dhr Family Medicine Clinic, 1000 E. Dove Ave, Mcallen, TX 78504 | 2019-03-29 |
| 1033694633 | Jose Escobedo Jr. | Durable Medical Equipment & Medical Supplies | 5221 N 10th St Suite 205, Mcallen, TX 78504 | 2018-09-28 |
| 1396229779 | Jet Paulo Castro Cruz | Physical Therapist | 10300 N. 26th St, Mcallen, TX 78504 | 2018-09-20 |
| 1134621626 | Clarivel Alaniz | Occupational Therapist | 4005 N 42nd St, Mcallen, TX 78504 | 2018-03-01 |
| 1639678097 | Amorosa Healthcare Services, LLC. | Technician | 900 E. Redbud Ave. Bld 17 Suite B, Mcallen, TX 78504 | 2018-02-12 |
| 1205344561 | Anara Frank | Physician Assistant | 110 East Savannah, Suite #a204, Mcallen, TX 78504 | 2018-01-19 |
| 1962919316 | Premier Obgyn Rgv Pllc | Obstetrics & Gynecology | 4217 North Mccoll Road, Ste 700, Mcallen, TX 78504 | 2018-01-08 |
| Find all providers in zip 78504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467851246 | Krista Marie Bermejillo-vasquez | Physician Assistant | 6900 N 10th St Ste 3, Mcallen, TX 78504-3151 | 2014-08-18 |
| 1386079770 | Gabriel Felipe Martinez | Physician Assistant | 4115 Pecan Blvd, Suite B, Mcallen, TX 78501-3694 | 2013-09-05 |
| 1144415613 | Lisa Marie Hernandez | Physician Assistant | 1100 E Dove Ave Ste And202, Mcallen, TX 78504-4679 | 2007-09-07 |
| 1518177138 | Sofia C Luna | Physician Assistant | 320 N. Mccoll Rd Ste A, Mcallen, TX 78501-5275 | 2007-05-23 |
| 1114044120 | Marina Jacobson | Physician Assistant | 1801 S 5th St Ste 130, Mcallen, TX 78503-2915 | 2007-03-23 |
| 1588727317 | Karen Baxter | Physician Assistant | 5148 N 10th St, Mcallen, TX 78504-2834 | 2006-12-19 |
| 1982700530 | Anna Ramona Paez | Physician Assistant | 1200 E Ridge Rd Ste 3, Mcallen, TX 78503-1528 | 2006-09-14 |
| 1134144561 | Ann Monique Hensler | Physician Assistant | 1900 S Jackson Rd Ste 9, Mcallen, TX 78503-1589 | 2006-07-13 |
| 1083641716 | Gilbert Brady Santos | Physician Assistant | 208 Lindberg Ave, Mcallen, TX 78501-2920 | 2006-06-27 |
| 1821043951 | Orlando Ochoa | Physician Assistant | 6900 N 10th St Ste 8, Mcallen, TX 78504-3151 | 2006-05-24 |
| Find all providers in MCALLEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.