Provider Demographics
NPI:1023574993
Name:GARAY, ERIN LEIGH (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:GARAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MANCHESTER LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6422
Mailing Address - Country:US
Mailing Address - Phone:703-899-7184
Mailing Address - Fax:
Practice Address - Street 1:114 MANCHESTER LN
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-6422
Practice Address - Country:US
Practice Address - Phone:703-899-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139638363L00000X
FLAPRN11009315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner