ERICKSON HEALTH MEDICAL GROUP OF TEXAS, PA (NPI# 1861706558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861706558 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF TEXAS, PA |
| Practice Address |
14703 Eagle Vista Dr Houston TX 77077-5394 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4664 |
| Practice Telephone | 2812497100 |
| Practice Fax Number | 2812497365 |
| Mailing Telephone | 2812497100 |
| Mailing Fax Number | 2812497365 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | DR. MARY A NORMAN (PRESIDENT) |
| Authorized Official Telephone | 9722328080 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DME | 6444410002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998476 | Erickson Health Medical Group of Texas, Pa | Durable Medical Equipment & Medical Supplies | 8000 Frankford Rd, Dallas, TX 75252-6834 | 2010-08-05 |
| Street Address |
14703 EAGLE VISTA DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224544 | Raina Patel | Internal Medicine | 14703 Eagle Vista Dr, Houston, TX 77077-5275 | 2005-06-13 |
| 1922537034 | Sidratu Rugie Issa | Nurse's Aide | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2017-06-12 |
| 1013312792 | Crystal Taylor | Physical Therapy Assistant | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-24 |
| 1841695657 | Rushina Desai | Physical Therapy Assistant | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-23 |
| 1992109854 | Barbara Craver | Occupational Therapist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2014-10-21 |
| 1386984912 | Jennifer Blan | Speech-Language Pathologist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2013-02-19 |
| 1144580192 | Eagle's Trace Inc | Skilled Nursing Facility | 14703 Eagle Vista Dr, Attn: Extended Care Administrator, Houston, TX 77077-5394 | 2012-05-24 |
| 1568741536 | Chisaokwu Abdullah | Speech-Language Pathologist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2011-08-09 |
| 1972805117 | Cynthia Marie Dupont | Physical Therapist | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2010-11-20 |
| 1396978532 | Cynthia Tran Kieu | Nurse Practitioner | 14703 Eagle Vista Dr, Houston, TX 77077-5394 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309209 | Big Daddy Medical Supply | Durable Medical Equipment & Medical Supplies | 14747 Charlmont Dr, Houston, TX 77083-5645 | 2020-09-02 |
| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1689283145 | Iv & Home Health Services of Texas | Durable Medical Equipment & Medical Supplies | 7545 Cherry Park Dr, Houston, TX 77095-2722 | 2020-07-30 |
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1609485697 | Houston Care Medical Supplies | Durable Medical Equipment & Medical Supplies | 440 Benmar Dr Ste 1022e, Houston, TX 77060-3271 | 2020-07-27 |
| 1750999306 | King Ross Medical Supply | Durable Medical Equipment & Medical Supplies | 5200 Mitchelldale St Ste F21, Houston, TX 77092-7221 | 2020-07-20 |
| 1346866738 | Tek Med 1 LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160a, Houston, TX 77029-1299 | 2020-06-22 |
| 1225654619 | Tek Med II, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160b, Houston, TX 77029-1299 | 2020-06-22 |
| 1215553615 | Tek Med IIi, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160c, Houston, TX 77029-1299 | 2020-06-22 |
| 1033732524 | Nextstage Medical, LLC | Durable Medical Equipment & Medical Supplies | 510 Bering Dr Ste 650, Houston, TX 77057-1451 | 2020-05-19 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.