| Erhoden Inc | |
|
16452 Pienza Dr Pflugerville TX 78660-4258 | |
| (512) 906-5994 | |
| Not Available |
| Full Name | Erhoden Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16452 Pienza Dr, Pflugerville, Texas |
| Authorized Official Name and Position | Eric Michael Rhoden (OWNER) |
| Authorized Official Contact | 5129065994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erhoden Inc 16452 Pienza Dr Pflugerville TX 78660-4258 Ph: (512) 906-5994 | Erhoden Inc 16452 Pienza Dr Pflugerville TX 78660-4258 Ph: (512) 906-5994 |
| NPI Number | 1700538287 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 8527453372 |
|---|---|
| Medicare Enrollment ID | O20220322002472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700538287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Eric S Madore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678884 PECOS PAC ID: 0941298053 Enrollment ID: I20040505001178 |
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