Individual
ERICA MARIE MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3136 HORIZON RD STE 100, ROCKWALL, TX 75032-7808
(214) 227-2457
(214) 764-0880
Mailing address
3136 HORIZON RD STE 100, ROCKWALL, TX 75032-7808
(972) 475-8914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15175
TX
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/06/2021
Last updated
12/15/2021
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