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

Walter Mitini Etoh, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1851945687

Walter Mitini Etoh, NURSEPRACTITIONER is a Nurse Practitioner in San Antonio, Texas. Qualified in 2018, 8 years ago. Practices with Usacs Integrated Acute Care Services of Texas, PLLC, a 400-clinician group and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
8
Licensed in
MI, TX
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-4000
Fax: (210) 358-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1014388 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1014388 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704258160 (MI)

Record details

NPI number1851945687
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Usacs Integrated Acute Care Services Of Texas, Pllc — 400 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in San Antonio