Individual
ERIC ALAN PACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L0479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018440004
AMERIGROUP
—
05
—
018440004
—
TX
01
—
120897101
PHCS FIRST CARE 12940
—
01
—
139925100
FIRST CARE STAR MEDICAID
—
05
—
152778001
—
TX
01
—
7931102
AETNA
—
01
—
8G6220
BCBS
—
01
—
8G6221
BCBS
TX
01
—
H41514
CIGNA OPTICARE
—
01
—
P00075436
RAILROAD MEDICARE
—
Enumeration date
02/02/2006
Last updated
12/08/2010
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