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Individual

ERIC RAYMOND ARDEEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9250 PINECROFT DRIVE, THE WOODLANDS, TX 77380-3218
(713) 798-0190
(281) 364-2535
Mailing address
1140 BUSINESS CENTER DR STE 201, HOUSTON, TX 77043-2744
(713) 932-5757
(713) 932-5750

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P3113
TX
282N00000X
General Acute Care Hospital
BP10037422
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP10037422
PIT PERMIT
TX
Enumeration date
06/11/2010
Last updated
08/19/2013
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