Provider Demographics
NPI:1073089678
Name:EEDS, ERIKA (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:EEDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2516
Mailing Address - Country:US
Mailing Address - Phone:903-872-5657
Mailing Address - Fax:
Practice Address - Street 1:2300 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2516
Practice Address - Country:US
Practice Address - Phone:903-872-5657
Practice Address - Fax:903-872-5657
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor