IndividualActive
Alan Ettinger, DPM PA
NPI 1295762771 · Primary Podiatric Medicine Podiatrist · Fort Worth, TX
Provider details
- NPI number
- 1295762771
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0469 (TX)
Practice location
1001 12th St Ste 104
Fort Worth, TX 76104-3928
Phone: (817) 738-1931
Fax: (817) 738-6990
Mailing address
1001 12th St Ste 104
Fort Worth, TX 76104-3928
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2009-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.