Provider Demographics
NPI:1093595100
Name:HUNDL, ERIC JOSEPH
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JOSEPH
Last Name:HUNDL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20207 LAKE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:DAMON
Mailing Address - State:TX
Mailing Address - Zip Code:77430-9602
Mailing Address - Country:US
Mailing Address - Phone:832-775-5427
Mailing Address - Fax:
Practice Address - Street 1:711 W BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4043
Practice Address - Country:US
Practice Address - Phone:281-338-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13843822251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic