ADRA ETHO – NPI #1265618953
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

ADRA ETHO is a radiologist located in LUFKIN, TX. NPPES has assigned the NPI number 1265618953 to ADRA ETHO on January 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADRA ETHO below.

NPI Profile for
ADRA ETHO

NPI Number
1265618953
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADRA ETHO
Primary location
1201 W FRANK AVE
LUFKIN, TX 75904-3357
Phone: (936) 637-6415 Fax:
Mailing address
10567 SAWMILL PKWY
SUITE 100
POWELL, OH 43065-6667
Phone: (614) 210-1885 Fax:
Organization Subpart
No
Authorized Official
DARWIN CLARK
PRESIDENT
Phone: (936) 637-6415
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.