Provider Demographics
NPI:1104211127
Name:ERICKSON, CAMERON R (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:R
Last Name:ERICKSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8825 BEE CAVES RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4721
Mailing Address - Country:US
Mailing Address - Phone:512-328-3376
Mailing Address - Fax:512-666-3767
Practice Address - Street 1:2132 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1508
Practice Address - Country:US
Practice Address - Phone:281-203-0600
Practice Address - Fax:281-205-3503
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2021-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT4358208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery