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Mr. Ethan Pavlovsky
Student in an Organized Health Care Education/Training Program in Plano, Texas
NPI 1407505233

Ethan Pavlovsky is a Student in an Organized Health Care Education/Training Program based in Plano, TX. Ethan Pavlovsky practices in Plano, TX. The NPI Number for Ethan Pavlovsky is 1407505233 and holds a License No. (Texas).

The current practice location address for Ethan Pavlovsky is 3901 W 15Th St, Plano, TX and can be reached out via phone at 972-396-4075.

Location: 3901 W 15Th St, Plano, TX, 75075-7738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407505233
Provider Name
Ethan Pavlovsky
Credential
Provider Entity Type
Individual
Gender
Male
Address
3901 W 15Th St, Plano, TX, 75075-7738
Phone Number
972-396-4075
Fax Number
Provider Enumeration Date
03/20/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075-7738
Phone Number
972-396-4075
Fax Number
person
Provider Business Mailing Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075-7738
Phone Number
972-396-4075
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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