Individual provider · Type 1 NPI

Ethan Pavlovsky, DO

General Practice Physician · Plano, TX

NPI number 1407505233 Active

Practice location

3901 W 15th St
Plano, TX 75075-7738

Call (972) 396-4075 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XW4177 (TX)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1407505233

Ethan Pavlovsky, DO's National Provider Identifier is 1407505233, issued on Mar 20, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Plano, TX. The record was last updated on Mar 8, 2026.