Avery, Eric N

Avery, Eric N is an individual health care provider with primary practice located at 301 University Blvd Route 1022, Galveston TX 77555-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Avery, Eric N can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
301 University Blvd Route 1022 Galveston TX 77555-5302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E2450 Texas

Profile Details

NPI number 1588722045
LBN Legal business name Avery, Eric N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588722045 NPPES
Texas MEDICAID 125042503

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