Provider Demographics
NPI:1154725349
Name:ERH HEALTHCARE, PLLC
Entity type:Organization
Organization Name:ERH HEALTHCARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:RIVERA
Authorized Official - Last Name:HETHCOX
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:409-256-3996
Mailing Address - Street 1:1372 MESSINA CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3270
Mailing Address - Country:US
Mailing Address - Phone:409-256-3996
Mailing Address - Fax:
Practice Address - Street 1:1372 MESSINA CT
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3270
Practice Address - Country:US
Practice Address - Phone:409-256-3996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-16
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121195261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service