Provider Demographics
NPI:1073591798
Name:MCLAUGHLIN, ERIC L (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:MCLAUGHLIN
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:PO BOX 301157
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75303-1157
Mailing Address - Country:US
Mailing Address - Phone:877-639-7611
Mailing Address - Fax:281-209-8930
Practice Address - Street 1:7515 GREENVLLE AVENUE
Practice Address - Street 2:SUITE 710
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:972-863-6100
Practice Address - Fax:281-209-8930
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9353207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168613101Medicaid
TX168613102Medicaid
TX1073591798OtherTRICARE SOUTH
TX8P5090OtherBCBSTX PROV NO
TX8X7030OtherBC TEXAS
TXP00192815OtherRAILROAD MCARE PROV NO
TX346024ZG6FMedicare PIN
TXH85209Medicare UPIN
TX168613102Medicaid
TX8C7644Medicare PIN