Provider Type Icon

ERICKSON HEALTH MEDICAL GROUP OF TEXAS PA NPI 1285654079


NPI Information

NPI: 1285654079
Provider Name: ERICKSON HEALTH MEDICAL GROUP OF TEXAS PA

Other Name: EAGLE'S TRACE MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
14703 EAGLE VISTA DR
HOUSTON, TX
ZIP 77077
Phone: (281) 249-7100
Get Directions

ERICKSON HEALTH MEDICAL GROUP OF TEXAS PA is an internal medicine in Houston, TX. The provider is 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. ERICKSON HEALTH MEDICAL GROUP OF TEXAS PA NPI is 1285654079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Eagle's Trace Medical Center.

The provider's business location address is:

14703 EAGLE VISTA DR
HOUSTON, TX
ZIP 77077-275
Phone: (281) 249-7100
Fax: (281) 249-7365

The provider's authorized official is Mary Norman .
The authorized official title is President and has the following contact phone number (410) 402-2257.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4213E00000XPodiatristNo
5363LA2200XNurse PractitionerAdult HealthNo
6363LG0600XNurse PractitionerGerontologyNo
7364SG0600XClinical Nurse SpecialistGerontologyNo
8364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
9207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10089EPOTHERBCBS - FEATHERSTON
28AS969OTHERBCBS - FEATHERSTON
30093NPOTHERBCBS OF TX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.