Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 34006491E | OH |
Y | 2086S0129X | Vascular Surgeon | R3836 | TX |
NPI | 1053313163 |
---|---|
Provider Name | Dr. Edward L Erb |
First Address | Kerrville, TX 78028-6024 |
Second Address | Kerrville, TX 78028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G55521 | (02) | OH |