Gary Lee Etter is a Psychiatry in Fort Worth, Texas. Gary Lee Etter practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Gary Lee Etter is 1427000264. The last update date is 2011-09-27.
Gary Lee Etter's current location address is 855 Montgomery St, Fort Worth, Texas. You can contact this provider via phone number 8177352400. The mailing address for Gary Lee Etter is 855 Montgomery St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Lee Etter |
|---|---|
| Address | 855 Montgomery St, Fort Worth, Texas |
| Phone Number | 8177352400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427000264 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2011-09-27 |
Provider Mailing Address Detail
| Address | 855 Montgomery St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 7610725530 |
| Phone Number | 8177352400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | F6608 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8U1293 | TX | BCBS | |
| P00415557 | TX | MEDICARE RAILROAD | |
| 135567912 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Lee Etter?
The Gary Lee Etter has been issued the NPI (National Provider Identifier) 1427000264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gary Lee Etter is located?
The Gary Lee Etter is situated at the following address: 855 Montgomery St, Fort Worth, TX, 7610725530.
What is Gary Lee Etter's area of expertise and its corresponding taxonomy classification?
The Gary Lee Etter's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1427000264 to Gary Lee Etter?
The Centers for Medicare & Medicaid Services assigned the 1427000264 to Gary Lee Etter on 2006-05-17.
As of what date was the information regarding Gary Lee Etter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Lee Etter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY