Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose R Etienne, PA-C

Individual provider Physician Assistant · NPI 1407245558

Jose R Etienne, PA-C is a Physician Assistant in Spring, Texas. Qualified in 2014, 12 years ago. Practices with Memorial Hermann Urgent Care PLLC, a 117-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Texas.

Years since qualifying
12
Licensed in
NY, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4057 Riley Fuzzel Rd Ste 1100B
Spring, TX 77386-4632
Phone: (281) 907-4863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10643 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 018374 (NY)

Record details

NPI number1407245558
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2015
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Hermann Urgent Care Pllc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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