Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | L9872 | TX |
NPI | 1972535169 |
---|---|
Provider Name | Eric R Ritchie |
First Address | Boerne, TX 78006-2802 |
Second Address | Boerne, TX 78006-2802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 11/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
178483701 | (05) | TX |
178483704 | (05) | TX |
G26825 | (02) |