Provider Demographics
NPI:1174611032
Name:PRICE, ERIC WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:WILLIAM
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-790-1818
Mailing Address - Fax:713-790-7500
Practice Address - Street 1:17198 ST LUKES WAY
Practice Address - Street 2:SUITE 600
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8011
Practice Address - Country:US
Practice Address - Phone:936-321-8000
Practice Address - Fax:713-790-7500
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL1971207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150486205Medicaid
TX8FE158OtherBLUE CROSS BLUE SHIELD
TX150486204Medicaid
TXP00890020OtherRR MEDICARE
TXP00890020OtherRR MEDICARE
TX8FE158OtherBLUE CROSS BLUE SHIELD
TX150486204Medicaid