Erickson, Gary L.
Erickson, Gary L. is an sole proprietor health care provider with primary practice located at 2463 Forest Park Blvd , Fort Worth TX 76110-1731. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Erickson, Gary L. can be contacted via phone (817) 926-5287.Contact Information
Primary practice address
2463 Forest Park Blvd
Fort Worth TX 76110-1731
Phone: (817) 926-5287
Fax: (817) 926-5288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 801 | Texas |
Profile Details
| NPI number | 1841290012 |
|---|---|
| LBN Legal business name | Erickson, Gary L. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841290012 | NPPES |
| Texas | MEDICAID | 018832801 |
Popular Providers
-
Warren, Lawrence
3109 6Th Ave , Fort Worth TX 76110-3800 -
Boyd, William Douglas
3221 Hulen Suite A, Fort Worth TX 76107 -
Nguyen, Thu Cao
1617 N Beach St , Fort Worth TX 76111-6617 -
Rodriguez, Camille
1301 W 7Th St Suite 121A, Fort Worth TX 76102-2651 -
Lisch, Mark S
6816 Shadow Creek Ct , Fort Worth TX 76132-4522 -
Motley, Travis A
800 5Th Ave Ste 400 , Fort Worth TX 76104-7305 -
Carpenter, Brian B
855 Montgomery St , Fort Worth TX 76107-2553 -
Garrett, Alan G
800 5Th Ave Ste 400 , Fort Worth TX 76104