Etminan, Tina

Etminan, Tina is an individual health care provider with primary practice located at 1411 College Dr , Texarkana TX 75503-3533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Etminan, Tina can be contacted via phone (903) 791-1110.

Contact Information

Primary practice address
1411 College Dr Texarkana TX 75503-3533
Fax: (903) 927-1764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP10075262 Texas

Profile Details

NPI number 1275114811
LBN Legal business name Etminan, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2021
Last updated Jul 10th, 2024 - about 4 months 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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