MRS. GENA MARIE ETTINGER


Address: 300s. Nolen Dr., Suite 100, Southlake, TX 76092-8057
Phone: 8174107777

MRS. GENA MARIE ETTINGER (NPI# 1578815304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578815304
Entity Type Individual
Full Name MRS. GENA MARIE ETTINGER
Other Name MISS GENA MARIE COX
Credential PA-C
Practice Address 300s. Nolen Dr.
Suite 100
Southlake
TX 76092-8057
Mailing Address 300 S. Nolen Dr
Suite 100
Southlake
TX 76092-8057
Practice Telephone 8174107777
Practice Fax Number 8174109906
Mailing Telephone 8174107777
Mailing Fax Number 8174109906
Enumeration Date 2012-10-03
Last Update Date 2015-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA08076 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300S. NOLEN DR.
SUITE 100
City SOUTHLAKE
State TX
Zip Code 76092-8057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730718990 Elizabeth Beazley Family Medicine 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 2020-04-08
1518508894 Arbor Pediatrics, Pllc Pediatrics 1130 N Kimball Ave, Southlake, TX 76092 2019-10-08
1346882685 Gs Ortho Assists, Pllc Physician Assistant 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 2019-10-08
1609340496 Rebecca Leigh Lander Physician Assistant 1170 N Carroll Ave., Southlake, TX 76092 2019-01-15
1225506223 Physicians Wellness Associates Pllc Family Medicine 1920 East State Highway 114, Southlake, TX 76092 2018-11-07
1740762459 Brandi L. Barker Chiropractor 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 2018-08-30
1033699228 Julie A. Seeber Physical Therapy Assistant 170 Stonebridge Lane, Southlake, TX 76092 2018-08-16
1992281364 Alayna Powers Nurse Practitioner 900 E Southlake Blvd Ste 300, Southlake, TX 76092 2018-07-18
1346732153 Amrittej Singh Virk Dentist 630 N Kimball Ave Ste 110, Southlake, TX 76092 2018-06-06
1740779594 Radiant Family Dental Pllc Dentist 2012 Southlake Glen Dr., Southlake, TX 76092 2018-05-08
Find all providers in zip 76092

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346882685 Gs Ortho Assists, Pllc Physician Assistant 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 2019-10-08
1609340496 Rebecca Leigh Lander Physician Assistant 1170 N Carroll Ave., Southlake, TX 76092 2019-01-15
1952805848 Nathan Annop Mahanirananda Physician Assistant 2813 W Southlake Blvd Ste 100, Southlake, TX 76092-6832 2018-03-23
1073060562 Elizabeth Williams Physician Assistant 560 N Kimball Ave, Ste 100, Southlake, TX 76092-6624 2016-09-01
1336531805 Evoni Noel Physician Assistant 630 N Kimball Ave Ste 100, Southlake, TX 76092 2015-02-20
1457673691 Hina Mazharuddin Physician Assistant 1125 David Blvd., Ste. 100, Southlake, TX 76092 2010-02-15
1134373491 Lisa Tshuma Physician Assistant 321 W Southlake Blvd, Suite #180, Southlake, TX 76092-6188 2008-11-12
1437294170 Brooke A Hodnick Physician Assistant 300 S Nolen Dr Ste 100, Southlake, TX 76092-8057 2007-02-20
1013539998 Micah Christian Bowman Physician Assistant 2419 W Southlake Blvd Ste 100, Southlake, TX 76092-1506 2020-05-13
1205464138 Niranjan Kc Physician Assistant 2419 W Southlake Blvd Ste 100, Southlake, TX 76092-1506 2020-03-27
Find all providers in SOUTHLAKE

Competitor

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City SOUTHLAKE
Zip Code 76092

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Dataset Information

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.

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