Packwood, Eric Alan

Packwood, Eric Alan is an individual health care provider with primary practice located at 321 S Henderson St , Fort Worth TX 76104-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Packwood, Eric Alan can be contacted via phone (817) 529-9949.

Contact Information

Primary practice address
321 S Henderson St Fort Worth TX 76104-1016
Phone: (817) 529-9949
Fax: (817) 529-9943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L0479 Texas

Profile Details

NPI number 1366414773
LBN Legal business name Packwood, Eric Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 8th, 2010 - about 14 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 1366414773 NPPES
Texas MEDICAID 018440004
Texas MEDICAID 152778001
Texas Other 120897101
Texas Other 018440004
Texas Other 139925100
Texas Other 7931102
Texas Other H41514
Texas Other 8G6221
Texas Other 8G6220
Texas Other P00075436

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