ABDIAS DEMETREE ETIENNE (NPI# 1972764827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972764827 |
| Entity Type | Individual |
| Full Name | ABDIAS DEMETREE ETIENNE |
| Credential | M.D |
| Practice Address |
1449 W Duranta Ave Ste 3 Alamo TX 78516-2328 |
| Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
| Practice Telephone | 9566661300 |
| Practice Fax Number | 9562522650 |
| Mailing Telephone | 9566661300 |
| Mailing Fax Number | 9562522650 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N1626 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 248937 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 1B2218 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4513 W Business Highway 83, Mcallen, TX 785029701 | 9566864414 |
| Street Address |
1449 W DURANTA AVE STE 3 |
| City | ALAMO |
| State | TX |
| Zip Code | 78516-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053821314 | Venisa Villarreal | Nurse Practitioner | 1449 W Duranta Ave Ste 3, Alamo, TX 78516-2328 | 2017-10-01 |
| 1639593577 | Los Alamos Pediatric Services Pa | Pediatrics | 1449 W Duranta Ave Ste 3, Alamo, TX 78516-2328 | 2014-02-12 |
| 1427392471 | Gloria Ann Yturria-calk | Physician Assistant | 1449 W Duranta Ave Ste 3, Alamo, TX 78516-2328 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819214 | Crystal Leanne Jones | Nurse Practitioner | 1226 West Austin Avenue, Alamo, TX 78516 | 2020-07-23 |
| 1336621168 | Deunta Jenkins | Physical Therapy Assistant | 1214 S Alamo Rd, Alamo, TX 78516 | 2018-08-29 |
| 1124505375 | Nancy Brendalee Garza | Specialist/Technologist | 118 S. 9th Pl., Alamo, TX 78516 | 2018-07-20 |
| 1528545712 | Teresita M. Lemus | Occupational Therapy Assistant | 118 S. 9th Place, Alamo, TX 78516 | 2018-07-20 |
| 1336632850 | Jose Ricardo Yanez Jr. | Counselor | 900 E Bowie Ave, Alamo, TX 78516 | 2018-06-09 |
| 1154842870 | Albert Caballero IIi | Student in an Organized Health Care Education/Training Program | 219 Caramel Dr, Alamo, TX 78516 | 2017-07-03 |
| 1003277377 | Julieta Quirino | Clinic/Center | 1040 West Ellis Ave, Alamo, TX 78516 | 2016-03-15 |
| 1700127545 | Richard Darko | Pharmacist | 1211 Hwy 83 E, Alamo, TX 78516 | 2013-03-04 |
| 1235488354 | Functional Therapeutics | Speech-Language Pathologist | 616 Vida Santa St, Alamo, TX 78516 | 2012-09-05 |
| 1831444801 | Victory Rehab LLC | Occupational Therapist | 1103 Acacia Ave, Alamo, TX 78516 | 2012-07-17 |
| Find all providers in zip 78516 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033425962 | Odell Still Do LLC | Family Medicine | 28 W Railroad Ave, Alamo, GA 30411-3513 | 2010-08-30 |
| 1952553406 | Sunshine Excellent Care Services Inc. | Family Medicine | 105 S Tower Rd, Ste #8, Alamo, TX 78516-2590 | 2008-10-15 |
| 1528108545 | William Stephen Sightler | Family Medicine | 1100 N. Broad St., Alamo, GA 30411 | 2007-02-07 |
| 1891867826 | Yvonne S Neau | Family Medicine | 195 N Broad St, Alamo, GA 30411-4055 | 2006-11-14 |
| 1659384253 | Raymond Wayne Rhear | Family Medicine | 59 S. Bells St, Alamo, TN 38001 | 2006-08-14 |
| 1912920539 | John A Knowles Jr. | Family Medicine | 1505 St. Alphonsus Way, Alamo, CA 94507 | 2006-07-25 |
| 1558306563 | Marco Gutierrez Md and Associates | Family Medicine | 401 S Alamo Rd, Alamo, TX 78516 | 2006-06-17 |
| 1578507984 | Ronald Clyde Tillman | Family Medicine | 157 N Bells St, Alamo, TN 38001-1767 | 2006-06-15 |
| 1114912821 | Ratna Behara | Family Medicine | 1243 W Hwy 83, Alamo, TX 78516-2532 | 2005-09-19 |
| 1134699416 | Audrey Lee Jones Do, Pa | Family Medicine | 801 Main St, Alamo, TX 78516-2560 | 2018-11-29 |
| Find all providers in ALAMO | ||||
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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.