NPI age
19 years
Enumerated 2007-04-13
● Active Type 2 · Organization
Ged Medical Management Inc
Ged Medical Management Inc is 1 of 237 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ettinger
Cfo/president
Last NPPES update
2012-03-05
Source: monthly bulk 2026-05
How this organization compares
Across 237 active clinic/center providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2001 Cooper Street
Fort Worth, TX 76104
Mailing address
2001 Cooper Street
Fort Worth, TX 76104
Authorized official
Alan Ira Ettinger, DPM
Cfo/president
📞 8178773054
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0533DC | BLUE CROSS PROVIDER NUMBE |
| 01 (TX) | R29901 | STATE LISC.# |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Diagnostic Pavilion
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.