Kent Erickson is a Family Medicine in Shenandoah, Texas. Kent Erickson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kent Erickson is 1336209873. The last update date is 2018-03-17.
Kent Erickson's current location address is 17183 I 45 S Ste 550, Shenandoah, Texas. You can contact this provider via phone number 9362703800. The mailing address for Kent Erickson is 17183 I 45 S Ste 550, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Erickson |
|---|---|
| Address | 17183 I 45 S Ste 550, Shenandoah, Texas |
| Phone Number | 9362703800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336209873 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 17183 I 45 S Ste 550 |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773853314 |
| Phone Number | 9362703800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | L4924 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00J21A | TX | GROUP MEDICARE NUMBER | |
| 94010801 | TX | GROUP MEDICAID NUMBER | |
| 153879513 | TX | -- | |
| 153879511 | TX | -- | |
| 153879512 | TX | -- | |
| 153879506 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kent Erickson by the Centers for Medicare & Medicaid Services?
The Kent Erickson has been assigned the NPI (National Provider Identifier) 1336209873 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kent Erickson's facilities are geographically located?
The facilities of Kent Erickson are physically situated at the following location: 17183 I 45 S Ste 550, Shenandoah, TX, 773853314.
What is Kent Erickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kent Erickson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336209873 to Kent Erickson?
The Kent Erickson received its 1336209873 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information pertaining to Kent Erickson most recently updated or revised?
The details related to Kent Erickson, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-17.