Provider Demographics
NPI:1699877126
Name:ECKHART, DEBRA ANN (ANP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:ECKHART
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 S WILLOW DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4713
Mailing Address - Country:US
Mailing Address - Phone:713-729-5934
Mailing Address - Fax:713-729-5945
Practice Address - Street 1:5600 S WILLOW DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4713
Practice Address - Country:US
Practice Address - Phone:713-729-5934
Practice Address - Fax:713-729-5945
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX631234363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS27529Medicare UPIN