Organization
EICHELBERGER MEDICAL PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP THEODRIC EICHELBERGER JR. M.D. (PRESIDENT)
(281) 427-8502
Entity
Organization
Contact information
Practice address
1610 JAMES BOWIE DRIVE, SUITE A103, BAYTOWN, TX 77520-3346
(281) 427-8502
(281) 420-5575
Mailing address
1610 JAMES BOWIE DRIVE, SUITE A103, BAYTOWN, TX 77520-3346
(281) 427-8502
(281) 420-5575
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C6308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122199604
—
TX
Enumeration date
09/09/2010
Last updated
09/09/2010
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