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BURLESON OLD TOWN MEDICAL CENTER
NPI 1922056191
Internal Medicine in Burleson, TX

Active since May 04, 2006CLIA 45D1057143 · Waiver
312 E RENFRO ST, SUITE 101, BURLESON, TX 76028(817) 295-3100(817) 295-3158 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Burleson Old Town Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURLESON OLD TOWN MEDICAL CENTER (NPI 1922056191) is a healthcare organization registered as an internal medicine in Burleson, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Joe M Etter, Owner, as its authorized official.

NPPES Registry Identity

NPI1922056191
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOE M ETTER DO PA
Location Address312 E RENFRO ST, SUITE 101Burleson, TX 76028-3947
Mailing Address312 E Renfro St, Suite 101Burleson, TX 76028-3947 · (817) 295-3100 · Fax (817) 295-3158
Phone(817) 295-3100
Fax(817) 295-3158
Organization SubpartNo
Authorized OfficialJoe M EtterOwner · (817) 295-3100
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 11, 2011
✔ NPI 1922056191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L9685
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
312 E RENFRO ST, Burleson, TX 76028
Open in Google Maps ↗

Other Names 1

Doing Business AsBurleson Old Town Medical Center

Other Identifiers 2

Medicaid181099601TX
Medicare PIN00W793TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1057143

Burleson Old Town Medical Center · Burleson, TX
Active · expires Apr 16, 2027
CLIA Number45D1057143
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorJoe M. Etter
Laboratory Phone(817) 295-3100
Laboratory LocationBurleson Old Town Medical Center309 NW Renfro St Suite 201, Burleson, TX 76028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRY BASS, MD, PA
Specialist
312 E RENFRO ST, SUITE 109
BURLESON, TX 76028
Johnson County (817) 293-9200
JAMES M PROESCHEL DDS
Dentist (General Practice)
312 E RENFRO ST, STE 204
BURLESON, TX 76028
Johnson County (817) 295-7116
STEVEN TATE D.D.S.
Dentist (General Practice)
312 E RENFRO ST, STE 204
BURLESON, TX 76028
Johnson County (817) 295-7116
AUSTIN R BURNETT FNP-C
Nurse Practitioner (Family)
312 E RENFRO ST, STE. 101
BURLESON, TX 76028
Johnson County (817) 295-3100
DENTAL VISIONS, P.A.
Dentist (General Practice)
312 E RENFRO ST, #204
BURLESON, TX 76028
Johnson County (817) 295-7116
DR. JOE M ETTER D.O.
Internal Medicine
312 E RENFRO ST, SUITE 101
BURLESON, TX 76028
Johnson County (817) 295-3100
DR. DEBORAH TULLOS COOK M.D.
Pediatrics
312 E RENFRO ST, SUITE 105
BURLESON, TX 76028
Johnson County (817) 426-6887
STEPHANIE PAIGE BRISCOE NORRIS FNP-C
Nurse Practitioner (Family)
312 E RENFRO ST, SUITE 101
BURLESON, TX 76028
Johnson County (817) 295-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe M Etter Do PA's NPI number?

The NPI number for Joe M Etter Do PA is 1922056191. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Burleson Old Town Medical Center.

Where is Joe M Etter Do PA located?

Joe M Etter Do PA is located at 312 E Renfro St Suite 101, Burleson, TX 76028. The listed phone number is (817) 295-3100.

What is Joe M Etter Do PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Joe M Etter Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1057143) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joe M Etter Do PA was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.