Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | S5181 | TX |
NPI | 1003343344 |
---|---|
Provider Name | Eric Hellman |
First Address | Muenster, TX 76252-2425 |
Second Address | Muenster, TX 76252-2425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 30/06/2020 |