Ericsson, Charles D

Ericsson, Charles D is an individual health care provider with primary practice located at 6410 Fannin St 604, Houston TX 77030-3000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Ericsson, Charles D can be contacted via phone (832) 325-7070.

Contact Information

Primary practice address
6410 Fannin St 604 Houston TX 77030-3000
Phone: (832) 325-7070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E3910 Texas
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X E3910 Texas

Profile Details

NPI number 1477571941
LBN Legal business name Ericsson, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 3rd, 2007 - about 18 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 1477571941 NPPES
Texas Other 89Y430 BCBS

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