Provider Demographics
NPI:1386980647
Name:ERCA PHYSICIANS PLLC
Entity type:Organization
Organization Name:ERCA PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:KUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-268-1894
Mailing Address - Street 1:6501 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2610
Mailing Address - Country:US
Mailing Address - Phone:213-268-1894
Mailing Address - Fax:
Practice Address - Street 1:2700 E ELDORADO PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5999
Practice Address - Country:US
Practice Address - Phone:213-268-1894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty