Provider Demographics
NPI:1083623680
Name:HAUFRECT, ERIC J (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:HAUFRECT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 1440
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2713
Mailing Address - Country:US
Mailing Address - Phone:713-523-7843
Mailing Address - Fax:713-814-8190
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 1440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2713
Practice Address - Country:US
Practice Address - Phone:713-523-7843
Practice Address - Fax:713-814-8190
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE0964174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131445202Medicaid
TX131445202Medicaid
TX00U44MMedicare PIN