EICHELBERGER MEDICAL PRACTICE P.A. NPI 1073820254

NPI Information

NPI: 1073820254
Provider Name: EICHELBERGER MEDICAL PRACTICE, P.A.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1610 JAMES BOWIE DRIVE
SUITE A103
BAYTOWN, TX
ZIP 77520
Phone: (281) 427-8502
Get Directions

EICHELBERGER MEDICAL PRACTICE, P.A. is a general practice in Baytown, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EICHELBERGER MEDICAL PRACTICE, P.A. NPI is 1073820254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1610 JAMES BOWIE DRIVE
SUITE A103
BAYTOWN, TX
ZIP 77520-346
Phone: (281) 427-8502
Fax: (281) 420-5575

The provider's authorized official is Philip Theodric Eichelberger .
The authorized official title is President and has the following contact phone number (281) 427-8502.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		C6308	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	122199604	MEDICAID	TEXAS
2	C15449	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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