Eagle'S Trace Medical Center

LBN: Erickson Health Medical Group Of Texas Pa
Eagle'S Trace Medical Center is an health care organization with primary practice located at 14703 Eagle Vista Dr , Houston TX 77077-5275. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Erickson Health Medical Group Of Texas Pa can be contacted via phone (281) 249-7100, or through Norman, Mary via phone (410) 402-2257.

Contact Information

Primary practice address
14703 Eagle Vista Dr Houston TX 77077-5275
Phone: (281) 249-7100
Fax: (281) 249-7365
Website:
Map and Directions
Authorized official contact:
Name: Norman, Mary Doctor of Medicine (MD)
Phone: (410) 402-2257

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1285654079
LBN Legal business name Erickson Health Medical Group Of Texas Pa
DBA Doing business as Eagle'S Trace Medical Center
Authorized official Norman, Mary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285654079 NPPES
Other 0089EP BCBS - FEATHERSTON
Other 8AS969 BCBS - FEATHERSTON
Other 0093NP BCBS - FEATHERSTON

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