Most Relevant Information
Provider Data
| NPI Number: | 1003834714 |
| Provider Name: | JAMES PIERRE D'ETIENNE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | K6455 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 09/29/2008 |
Provider Practice Location
3500 GASTON AVE
DALLAS
TX
752462017
Practice Location Phone/Fax
| Phone: | 2148202505 |
| Fax: | 2147122487 |
Provider Mailing Location
PO BOX 41633
PHILADELPHIA
PA
191011633
Provider Mailing Phone/Fax
| Phone: | 8003550808 |
| Fax: | 2147122487 |