Provider Demographics
NPI:1447780689
Name:INGALL, EITAN M (MD)
Entity type:Individual
Prefix:DR
First Name:EITAN
Middle Name:M
Last Name:INGALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5220 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:469-800-7200
Mailing Address - Fax:469-800-7210
Practice Address - Street 1:5220 W UNIVERSITY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:469-800-7200
Practice Address - Fax:469-800-7210
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2024-07-22
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Provider Licenses
StateLicense IDTaxonomies
TXU1515207X00000X
NC2022-00534207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery