Taub, Ethan Alexander

Taub, Ethan Alexander is an individual health care provider with primary practice located at 6431 Fannin St Msb 4.284, Department Of Surgery, Houston TX 77030-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Taub, Ethan Alexander can be contacted via phone (713) 500-7244.

Contact Information

Primary practice address
6431 Fannin St Msb 4.284, Department Of Surgery Houston TX 77030-1501
Phone: (713) 500-7244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P5741 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X P5741 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 036137282 Illinois

Profile Details

NPI number 1295002285
LBN Legal business name Taub, Ethan Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2011
Last updated Apr 4th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295002285 NPPES
Texas MEDICAID 320190706

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