MEDICARE: DR. ATILLA ERTAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	J0482	TX

General Provider Information

NPI Number	:	1295750024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ATILLA ERTAN M.D.

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 1400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1512
Country	:	US
Telephone Number	:	713-704-5928
Fax Number	:	713-704-9938

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST STE 1400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1512
Country	:	US
Telephone Number	:	713-704-5928
Fax Number	:	713-704-9938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/21/2023

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Directions to “ DR. ATILLA ERTAN M.D.” Practice Location

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