Organization Active NPI

E. Leon Etter II MD PA

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1073707394
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G3336 Issued in TX
Legal business name
E. LEON ETTER II MD PA
Practice address
1315 St Joseph Pkwy
Suite 1708
Houston, TX 77002-8233
Phone
(713) 739-1391
Fax
(713) 759-0786
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elegy Leon Etter II, MD
Title
President
Phone
(713) 739-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G3336 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy
Suite 1708
Houston, TX 77002-8233

Mailing address

1315 St Joseph Pkwy
Suite 1708
Houston, TX 77002-8233
Phone (713) 739-1391

National Provider Directory

National Provider Directory

Locations

1315 St Joseph Pkwy
Ste 1708
Houston, TX 77002
Phone (713) 739-1391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1073707394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-739-1391",
            "fax_number": "713-759-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-739-1391",
            "fax_number": "713-759-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. LEON ETTER II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "ETTER",
        "authorized_official_first_name": "ELEGY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-739-1391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.