Individual
PETER ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 RAILROAD ST., BOLING, TX 77420
(979) 657-4000
(979) 657-3800
Mailing address
PO BOX 700, BOLING, TX 77420-0700
Taxonomy
Speciality
Code
Description
License number
State
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
E5746
TX
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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