Organization Name: | ERH HEALTHCARE, PLLC |
NPI Number: | 1154725349 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELEANOR RIVERA HETHCOX (OWNER/NURSE PRACTITIONER) |
Mailing Address: | 1372 Messina Ct League City |
State: | TX US |
Postal Code: | 775733270 |
Phone Number: | 4092563996 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2014 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | AP121195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |